Graceful Secrets Medspa

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

GRACEFUL SECRETS MEDSPA

Practice address

204 E 4TH St
Saint Ansgar, IA 50472-9606

Phone

(507) 254-8329

Fax

(319) 409-8274

NPI assigned

Nov 10, 2021

Last updated

Nov 10, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

NEUMANN LLCAs reported in NPPES

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

Authorized official

Name

Dr. Jennifer Dianne Neumann, DNPNPI 1598024655

Title

Owner/Provider

Phone

(507) 254-8329

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Graceful Secrets Medspa

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.

• Jennifer D Neumann, DNP

  • Family Nurse Practitioner
  • Saint Ansgar, IA
  • NPI 1598024655
  NPD Authorized official

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1073279303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4673 CAMEO AVE",
            "city": "SAINT ANSGAR",
            "state": "IA",
            "postal_code": "504728544",
            "telephone_number": "507-254-8329",
            "fax_number": "319-409-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E 4TH ST",
            "city": "SAINT ANSGAR",
            "state": "IA",
            "postal_code": "504729606",
            "telephone_number": "507-254-8329",
            "fax_number": "319-409-8274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4673 Cameo Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Ansgar",
            "state": "IA",
            "postal_code": "504728544",
            "country_code": "US",
            "telephone_number": "507-254-8329",
            "fax_number": "319-409-8274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACEFUL SECRETS MEDSPA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEUMANN LLC",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "NEUMANN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "507-254-8329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chris Jerrod Meyer, RPH PHARMD
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• Lucas Laverne Nelson, D.C.

• Health Service Clinic/Center in Saint Ansgar, IA
• Providers in Saint Ansgar, IA by specialty
• Health Service Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.