NPIMap

Organization Active NPI

Slimming Grace LLC

  • Family Medicine Physician
  • Kingman, AZ
National Provider Identifier
1104691468
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SLIMMING GRACE LLC
Practice address
1901 Johnson Ave Unit 3371
Kingman, AZ 86402-1616
Phone
(928) 279-5076
Fax
(949) 695-3692
NPI assigned
Nov 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Danni Owens, FNPNPI 1912631425
Title
Owner
Phone
(928) 279-5076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1901 Johnson Ave Unit 3371
Kingman, AZ 86402-1616

Mailing address

PO Box 3371
Kingman, AZ 86402-3371
Phone (928) 279-5076

Other names 1

  • Slimming Grace LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1115 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 628-7905

1901 Johnson Ave
Unit 3371
Kingman, AZ 86402
Phone (928) 279-5076

3787 N Stockton Hill Rd
Ste B
Kingman, AZ 86409
Phone (928) 279-5076

1115 N Stockton Hill Rd
Ste 101
Kingman, AZ 86401
Phone (928) 263-1481

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1104691468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3371",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864023371",
            "telephone_number": "928-279-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 JOHNSON AVE UNIT 3371",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864021616",
            "telephone_number": "928-279-5076",
            "fax_number": "949-695-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLIMMING GRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "DANNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-279-5076",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Slimming Grace LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.