Individual provider Active NPI

Laura Grota, NP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1942024427
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1179050 Issued in TX
Practice address
2277 NW Military Hwy
San Antonio, TX 78213-1853
Phone
(210) 796-8602
NPI assigned
Nov 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1179050 TX Primary

Addresses

Primary practice location

2277 NW Military Hwy
San Antonio, TX 78213-1853

Mailing address

615 Imlay St
San Antonio, TX 78209-4557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20260519004564 WA Practitioner - Nurse Practitioner 1456820463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 W Fairview St
Colfax, WA 99111-9552

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1179050TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hormazd Sanjana M.D., P.a. PastSince Nov 17, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: laura.grota.1@10878.direct.athenahealth.com

Organizations & group practices 2

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

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": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1942024427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 IMLAY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 NW MILITARY HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131853",
            "telephone_number": "210-796-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTA",
        "first_name": "LAURA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1179050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.