Grace Gu, RN

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

1079017 Issued in TX

Practice address

1401 Medical Pkwy Ste 300
Cedar Park, TX 78613-5014

Phone

(512) 259-1811

NPI assigned

Jul 21, 2022

Reactivated

Aug 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1841925989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MEDICAL PKWY STE 300",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135014",
            "telephone_number": "512-259-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEDICAL PKWY STE 300",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135014",
            "telephone_number": "512-259-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GU",
        "first_name": "GRACE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "deactivation_date": "2023-11-12",
        "reactivation_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "1079017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin Grillo, DPT
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• Priscila Griner, BCBA
• Grisselle Virga, LCSW, P.C.
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• Anil Gudapati, D.M.D.
• Alaisa Guereca, MS, RD, LD, NASM-CPT
• Armando Rodriquez Guerra, LPTA
• Esther Guerra, IBCLC
• Mariel Guillen

• Psychiatry Physician in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.