Individual provider Active NPI

Nathanael Shay McGrew, APRN, MSN, NP-C

  • Adult Health Nurse Practitioner
  • Spring, TX
National Provider Identifier
1942329180
Registry record updated Oct 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP126769 Issued in TX
Practice address
3307 Spring Stuebner Rd
Suite A1
Spring, TX 77389-4690
Phone
(936) 242-9501
Fax
(281) 719-0027
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X SA00005 TX
Adult Health Nurse Practitioner 363LA2200X AP126769 TX Primary

Addresses

Primary practice location

3307 Spring Stuebner Rd
Suite A1
Spring, TX 77389-4690

Mailing address

3554 Hamilton Bend LN
Spring, TX 77386-7086
Phone (936) 242-9501

Other identifiers 3

IdentifierTypeStateIssuer
SA00005OtherTXLICENSE NUMBER
AG0914074OtherTXAANPCP
0001JROtherTXBLUECROSS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SA00005TXMDSurgical Physician Assistant
AP126769TXMDAdult Health Nurse Practitioner

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14069/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414281600000",
    "number": "1942329180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3554 HAMILTON BEND LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773867086",
            "telephone_number": "936-242-9501",
            "fax_number": "281-580-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 SPRING STUEBNER RD",
            "address_2": "SUITE A1",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773894690",
            "telephone_number": "936-242-9501",
            "fax_number": "281-719-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGREW",
        "first_name": "NATHANAEL",
        "middle_name": "SHAY",
        "name_prefix": "Mr.",
        "credential": "APRN, MSN, NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2014-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00005",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP126769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "SA00005",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANPCP",
            "identifier": "AG0914074",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS NUMBER",
            "identifier": "0001JR",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2014; 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.