Individual provider Active NPI

Daniella Deona Grantham, WHNP

  • Women's Health Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1801899349
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP108955 Issued in TX
Practice address
7121 S Padre Island Dr
Ste 200
Corpus Christi, TX 78412-4940
Phone
(361) 993-6000
Fax
(361) 993-3676
NPI assigned
May 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 559826 TX
Women's Health Nurse Practitioner 363LW0102X AP108955 TX Primary

Addresses

Primary practice location

7121 S Padre Island Dr
Ste 200
Corpus Christi, TX 78412-4940

Mailing address

214 Solar Way
Denton, TX 76207-2204
Phone (940) 391-0235

Other identifiers 1

IdentifierTypeStateIssuer
120095808MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031106000165 TX Practitioner - Nurse Practitioner 1951214097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Southwestern Medical School at Dallas, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical City OB-GYN, PLLCGroup PAC ID 3476808411, 60 clinicians

Practice addresses (Care Compare)

2805 S Mayhill Rd
Denton, TX 76208-5910
Phone (940) 387-7588

Hospital & facility affiliations

  • Medical City Denton Hospital, Denton, TX, CCN 450634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
559826TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Bend Womens Center PLLC CurrentSince Dec 1, 2018 Accepting new patients
Medical City OB-GYN, PLLC CurrentSince Nov 18, 2024 Accepting new patients
Congenital Heart Surgery Center PLLC Past Accepting new patients

Locations

515 W Mayfield Rd
Ste 200
Arlington, TX 76014
Phone (817) 375-5847

7121 Spid Dr
Ste 200
Corpus Christi, TX 78412
Phone (361) 993-6000

7777 Forest Ln
Ste D1110
Dallas, TX 75230
Phone (214) 824-3200

7777 Forest Ln
Ste C300J
Dallas, TX 75230
Phone (972) 566-2043

2805 S Mayhill Rd
Denton, TX 76208
Phone 9405916700258

Interoperability endpoints

  • Direct secure messaging: daniella.grantham@hca7.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1801899349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SOLAR WAY",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762072204",
            "telephone_number": "940-391-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 S PADRE ISLAND DR",
            "address_2": "STE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124940",
            "telephone_number": "361-993-6000",
            "fax_number": "361-993-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANTHAM",
        "first_name": "DANIELLA",
        "middle_name": "DEONA",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-28",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "559826",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP108955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120095808",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.