Grace Dada, NP
Nurse Practitioner, Family in Rowlett, TX. Individual provider (NPI-1).
NPI number1972995199
StatusActive
Last updated in NPPESMay 10, 2024
Details
- NPI
- 1972995199
- Entity type
- Individual (NPI-1)
- Name
- Grace Dada
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 25, 2015
- Certification date
- May 10, 2024
- Last updated
- May 10, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1156307 | TX | Yes |
| 363LF0000X | Nurse Practitioner, Family | 339435 | NY |
Practice location
3430 Lakeview PkwyRowlett, TX 75088-3367
Phone 972-475-2597
Mailing address
3430 Lakeview PkwyRowlett, TX 75088-3367
Phone 972-475-2597
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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