Grace River Women'S Health LLC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

Legal business name

GRACE RIVER WOMEN'S HEALTH LLC

Practice address

347 S 37TH St
Muskogee, OK 74401-4906

Phone

(918) 781-2496

NPI assigned

Feb 15, 2021

Organization subpart

No

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

Authorized official

Name

Sheila Metzger, APRN-BCNPI 1831729920

Title

Owner

Phone

(918) 781-2496

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheila Metzger, APRN-BC

  • Women's Health Nurse Practitioner
  • Norman, OK
  • NPI 1831729920
  Medicare reassignment NPD Authorized official
• Jamie Laster, RCS

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Muskogee, OK
  • NPI 1447793138
  NPD

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1083207682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9798 S 80TH ST E",
            "city": "BRAGGS",
            "state": "OK",
            "postal_code": "744235047",
            "telephone_number": "918-781-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 S 37TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014906",
            "telephone_number": "918-781-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE RIVER WOMEN'S HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "METZGER",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-781-2496",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol S Goss
• Denise Michelle Goss, RD/LD,CDE
• Erin Goss, LPC, LADC
• Kimberly Goughler
• Whitney Gould
• Nettie Nicole Graff
• Veronica Gragg
• Alef Nancy Graham, ARNP
• Maxine Graham, RN
• Sue Nylene Grannon, RN

• Women's Health Nurse Practitioner in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Women's Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.