Organization Active NPI

Grace Vitale Wellness, LLC

  • Primary Care Clinic/Center
  • McKinney, TX
National Provider Identifier
1124763685
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Aug 2, 2022

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20230317000305 TX Part B Supplier - Clinic/Group Practice 1557735339 Receives reassigned benefits from 2 practitioners
Practice locations: McKinney, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2268417Grace Vitale Wellness1400 N Coit Rd Suite 1102, McKinney, TX 75071Certificate of waiverSep 11, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.