Individual provider Active NPI

Heather Raye Grohman, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • La Vernia, TX
National Provider Identifier
1952803165
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136825 Issued in TX
Practice address
101 Woodbridge Dr Ste 101
La Vernia, TX 78121-0109
Phone
(830) 581-8027
NPI assigned
Mar 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 782085 TX
Family Nurse Practitioner 363LF0000X AP136825 TX Primary

Addresses

Primary practice location

101 Woodbridge Dr Ste 101
La Vernia, TX 78121-0109

Mailing address

PO Box 1482
La Vernia, TX 78121-1422
Phone (830) 581-8027

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
I20190131001491 TX Practitioner - Nurse Practitioner 1759628563 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
782085TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson County Memorial Hospital District CurrentSince Oct 13, 2018 Accepting new patients
Roderick D. Ekmark, MD, PA CurrentSince Mar 12, 2024 Accepting new patients
Wilson County Memorial Hospital District CurrentSince Oct 13, 2018 Accepting new patients
Complete Emergency Care la Vernia LLC Past Accepting new patients

Locations

497 10th St
Ste 101
Floresville, TX 78114
Phone (830) 393-1630

499 10th St
Floresville, TX 78114
Phone (830) 216-7096

13857 US Highway 87 W
Lavernia, TX 78121
Phone (830) 253-2101

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1520035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1952803165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1482",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781211422",
            "telephone_number": "830-581-8027",
            "fax_number": "830-244-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WOODBRIDGE DR STE 101",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781210109",
            "telephone_number": "830-581-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROHMAN",
        "first_name": "HEATHER",
        "middle_name": "RAYE",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-03",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "782085",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vernia, TX

Sources for this page

Verify at the official NPI Registry.