Active NPI
Nathanael Shay McGrew, APRN, MSN, NP-C
- Adult Health Nurse Practitioner
- Spring, TX
National Provider Identifier
1942329180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP126769
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA00005 | Other | TX | LICENSE NUMBER |
| AG0914074 | Other | TX | AANPCP |
| 0001JR | Other | TX | BLUECROSS 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.
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA00005 | TX | MD | Surgical Physician Assistant |
| AP126769 | TX | MD | Adult Health Nurse Practitioner |
Interoperability endpoints
- 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.