Organization Active NPI

Healing Grace LLC

  • Internal Medicine Physician
  • Lexington, KY
National Provider Identifier
1124481593
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HEALING GRACE LLC
Practice address
2050 Versailles Rd
Lexington, KY 40504-1405
Phone
(859) 254-5701
NPI assigned
Apr 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Authorized official

Name
April Nevarez-MaggardNPI 1477872307
Title
President
Phone
(334) 714-1789

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2050 Versailles Rd
Lexington, KY 40504-1405

Mailing address

290 Spears PT
Lancaster, KY 40444-7424

Other practice location 1

290 Spears Pt
Lancaster, KY 40444-7424
Phone (334) 714-1789

Other identifiers 1

IdentifierTypeStateIssuer
7100403670MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address April.nevarez@encompasshealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200514002793 KY Part B Supplier - Clinic/Group Practice 6305277997 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: april.nevarez@encompasshealth.com

Practitioners & affiliated clinicians

Practitioners 1

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": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1124481593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 SPEARS PT",
            "city": "LANCASTER",
            "state": "KY",
            "postal_code": "404447424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 VERSAILLES RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041405",
            "telephone_number": "859-254-5701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 Spears Pt",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "KY",
            "postal_code": "404447424",
            "country_code": "US",
            "telephone_number": "334-714-1789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING GRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "NEVAREZ-MAGGARD",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-714-1789"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100403670",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "April.nevarez@encompasshealth.com",
            "affiliation": "N",
            "address_1": "2050 Versailles Rd",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405041405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.