Active NPI
Gracie Howard, MA
- Technician
- Ringgold, GA
National Provider Identifier
1013738913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- License
- 1133399
- Practice address
- 4083 Cloud Springs Rd
Ringgold, GA 30736-8411 - Phone
- (855) 694-8288
- NPI assigned
- Oct 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | 1133399 | GA | Primary |
Addresses
Primary practice location
4083 Cloud Springs Rd
Ringgold, GA 30736-8411
Mailing address
4083 Cloud Springs Rd
Ringgold, GA 30736-8411
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1133399 | GA | MD | Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1013738913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4083 CLOUD SPRINGS RD",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307368411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4083 CLOUD SPRINGS RD",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307368411",
"telephone_number": "855-694-8288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "GRACIE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-23",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "GA",
"license": "1133399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ringgold, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.