Active NPI
Grace Vitale Wellness, LLC
- Primary Care Clinic/Center
- McKinney, TX
National Provider Identifier
1124763685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- GRACE VITALE WELLNESS, LLC
- Practice address
- 1400 N Coit Rd Ste 302
McKinney, TX 75071-6656 - Phone
- (945) 542-0218
- NPI assigned
- Apr 29, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine Grace Grimmett, MSN, APRN, FNP-C
- Title
- Family Nurse Practitioner
- Phone
- (945) 542-0218
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
1400 N Coit Rd Ste 302
McKinney, TX 75071-6656
Mailing address
1400 N Coit Rd Ste 302
McKinney, TX 75071-6656
Phone (945) 542-0218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2268417 | Grace Vitale Wellness | Certificate of waiver | Sep 11, 2026 |
National Provider Directory
National Provider DirectoryLocations
1400 N Coit Rd
Ste 1102
McKinney, TX 75071
Phone (945) 215-3736
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- McKinney, TX
- NPI 1851888473
-
- Family Nurse Practitioner
- McKinney, TX
- NPI 1740087543
-
- Internal Medicine Physician
- Prosper, TX
- NPI 1578594651
-
- Family Nurse Practitioner
- Coppell, TX
- NPI 1902929987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659398400000",
"number": "1124763685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N COIT RD STE 302",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750716656",
"telephone_number": "945-542-0218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N COIT RD STE 302",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750716656",
"telephone_number": "945-542-0218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE VITALE WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-29",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A",
"authorized_official_last_name": "GRIMMETT",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "GRACE",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "945-542-0218",
"authorized_official_credential": "MSN, APRN, FNP-C"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.