Grace Medical, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

GRACE MEDICAL, PLLC

Practice address

120 Old Virginia Ave
Rich Creek, VA 24147-9669

Phone

(540) 250-3778

NPI assigned

Nov 13, 2019

Last updated

Jan 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ramona Boyer, MSN, APRN, FNP-BCNPI 1871967257

Title

FNP/Owner

Phone

(540) 250-3778

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ramona Boyer, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Rich Creek, VA
  • NPI 1871967257
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1053956060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 W SPILLER ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821725",
            "telephone_number": "540-250-3778",
            "fax_number": "540-944-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OLD VIRGINIA AVE",
            "city": "RICH CREEK",
            "state": "VA",
            "postal_code": "241479669",
            "telephone_number": "540-250-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_title_or_position": "FNP/OWNER",
        "authorized_official_telephone_number": "540-250-3778",
        "authorized_official_credential": "MSN, APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Rich Creek, VA
• Providers in Rich Creek, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.