Individual provider Active NPI

Grace C. Grymes Chapman, DNP

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1083692206
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30006867 Issued in WA
Practice address
3507 SW Henderson St
Seattle, WA 98126-3852
Phone
(206) 701-4271
NPI assigned
Jan 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201807234NP-PP OR
Family Nurse Practitioner 363LF0000X 170561 MT
Family Nurse Practitioner 363LF0000X 168109 AK
Primary Care Nurse Practitioner 363LP2300X AP30006867 WA
Family Nurse Practitioner 363LF0000X AP30006867 WA Primary

Addresses

Primary practice location

3507 SW Henderson St
Seattle, WA 98126-3852

Mailing address

PO Box 5188
Portland, OR 97208-5188
Phone (855) 229-6460

Other identifiers 1

IdentifierTypeStateIssuer
9649997MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050609000431 WA Practitioner - Nurse Practitioner 1254374333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1018 Capitol Way S
Suite 300
Olympia, WA 98501-1212

1145 Broadway
Suite 200
Seattle, WA 98122-4201

2101 E Yesler Way
Suite 210
Seattle, WA 98122-5959

2811 S 102ND St
Suite 210
Tukwila, WA 98168-1814

PO Box
Suite 3158
Portland, OR 97208-3158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
168109AKMDFamily Nurse Practitioner
170561MTMDFamily Nurse Practitioner
AP30006867WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic PLLC CurrentSince Oct 8, 2021 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Express Care Ak LLC PastSince Apr 19, 2020 Accepting new patients
Professional Recreation Organization, Inc. Past Accepting new patients

Locations

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1145 Broadway
Seattle, WA 98122

9709 3rd Ave NE
Seattle, WA 98115
Phone (206) 525-5777

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1083692206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5188",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972085188",
            "telephone_number": "855-229-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 SW HENDERSON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263852",
            "telephone_number": "206-701-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRYMES CHAPMAN",
        "first_name": "GRACE",
        "middle_name": "C.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201807234NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "170561",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "168109",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP30006867",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9649997",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.