MRS. PETRA GRINNELL (NPI# 1386959120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386959120 |
| Entity Type | Individual |
| Full Name | MRS. PETRA GRINNELL |
| Credential | APRN, FNP-BC |
| Practice Address |
1303 Mccullough Ave Suite 374 San Antonio TX 78212-5615 |
| Practice Telephone | 2102235483 |
| Practice Fax Number | 2102235492 |
| Mailing Telephone | 2102235483 |
| Mailing Fax Number | 2102235492 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2011-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
550234 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1303 MCCULLOUGH AVE SUITE 374 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-5615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386645372 | Victor Ivan Lyday | Orthopaedic Surgery | 1303 Mccullough Ave, Suite 361, San Antonio, TX 78212-5609 | 2005-08-02 |
| 1588208920 | Lorena Angelica Ramirez | Specialist/Technologist | 1303 Mccullough Ave, San Antonio, TX 78212-5609 | 2019-10-29 |
| 1396388351 | Alexander Saldana | Specialist/Technologist | 1303 Mccullough Ave, San Antonio, TX 78212-5609 | 2019-10-23 |
| 1821524158 | Jesse Lowrance | Specialist/Technologist | 1303 Mccullough Ave, San Antonio, TX 78212-5609 | 2017-05-05 |
| 1619410958 | Sam Mccrary | Specialist/Technologist | 1303 Mccullough Ave, San Antonio, TX 78212-5609 | 2016-11-18 |
| 1306242409 | Rafael Parra and Associates | Neurological Surgery | 1303 Mccullough Ave, Ste 440, San Antonio, TX 78212-5609 | 2014-11-17 |
| 1699193185 | Southern Texas Heart and Vascular Clinic, Pllc | Internal Medicine | 1303 Mccullough Ave, San Antonio, TX 78212-5609 | 2014-04-01 |
| 1780925768 | San Antonio Lung Center, Pllc | Internal Medicine | 1303 Mccullough Ave, Suite 428, San Antonio, TX 78212-5609 | 2013-03-15 |
| 1619217122 | Gmg Health Systems Associates, Pa | Durable Medical Equipment & Medical Supplies | 1303 Mccullough Ave, Suite 170, San Antonio, TX 78212-5609 | 2013-02-20 |
| 1144572132 | Rebekah T Adai | Nurse Practitioner | 1303 Mccullough Ave, Suite Gl70, San Antonio, TX 78212-5609 | 2012-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1033719521 | Macy Atkins | Nurse Practitioner | 6676 Utsa Blvd, San Antonio, TX 78249-5100 | 2020-10-26 |
| 1801494554 | Yordanis Rafael Fonseca Vega | Nurse Practitioner | 12521 Nacogdoches Rd Ste 101, San Antonio, TX 78217-2117 | 2020-10-14 |
| 1255939237 | Ashley Elizabeth Swartz | Nurse Practitioner | 9502 Huebner Rd Ste 101, San Antonio, TX 78240-1683 | 2020-10-13 |
| 1871190173 | Cynthia B Elkins | Nurse Practitioner | 24806 Terlingua Bnd, San Antonio, TX 78261-2726 | 2020-10-08 |
| 1588270623 | Amanda Razo | Nurse Practitioner | 6315 Welles Arbor Cir, San Antonio, TX 78240-2148 | 2020-09-23 |
| 1255946935 | Norberto Hernandez Iv | Nurse Practitioner | 11501 Braesview Apt 3903, San Antonio, TX 78213-1262 | 2020-09-10 |
| 1033723655 | Hira Mughal | Nurse Practitioner | 9850 Twinbear Crk, San Antonio, TX 78245-9596 | 2020-09-01 |
| 1366055675 | Maria Christina Cruz Tijerina | Nurse Practitioner | 18518 Hardy Oak Blvd Apt 135, San Antonio, TX 78258-4759 | 2020-08-26 |
| 1225649593 | Gina M Duron | Nurse Practitioner | 10730 Green Trail Dr, San Antonio, TX 78223-4224 | 2020-08-11 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
Please comment or provide details below to improve the information on MRS. PETRA GRINNELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.