Grand Mesa Nephrology PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

GRAND MESA NEPHROLOGY PLLC

Practice address

2748 Crossroads Blvd
Grand Junction, CO 81506-3933

Phone

(970) 255-0919

Fax

(970) 255-0901

NPI assigned

Jul 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Grace E Kim, M.D.NPI 1891745899

Title

President

Phone

(406) 248-5511

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6579/brand/1/csg/1/fhir/r4

Practitioners 5

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

• Joseph S. Harawi, M.D.

  • Nephrology Physician
  • Grand Junction, CO
  • NPI 1154465888
  Medicare reassignment Care Compare group NPD
• Treva Millard, RD

  • Registered Dietitian
  • Grand Junction, CO
  • NPI 1669105276
  Medicare reassignment Care Compare group NPD
• Alexandra E Straight, MD

  • Nephrology Physician
  • Grand Junction, CO
  • NPI 1043298854
  Medicare reassignment Care Compare group NPD
• Wendy M Vaerewyck, PAC

  • Physician Assistant
  • Milwaukee, WI
  • NPI 1841241510

  CO

  Medicare reassignment
• Grace E Kim, M.D.

  • Nephrology Physician
  • Billings, MT
  • NPI 1891745899
  NPD (past) Authorized official

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1154633220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7641 CHAROLAIS ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591069664",
            "telephone_number": "406-248-5511",
            "fax_number": "406-248-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2748 CROSSROADS BLVD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815063933",
            "telephone_number": "970-255-0919",
            "fax_number": "970-255-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND MESA NEPHROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-248-5511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Junction Vamc
• Grand Junction Vamc
• Grand Junction Wellage Pacifica, LLC (The Lodge at Grand Junction)
• Grand Mesa Counseling LLC
• Grand Mesa Medical Supply, LLC
• Grand Mesa Spine and Sport LLC
• Grand Mesa Spine and Sport, LLC (Colorado Injury and Pain Specialists)
• Grand Mesa Spine and Sport, LLC (Colorado Injury and Pain Specialists)
• Grand River Psychiatry PLLC
• Grand Rver Psychiatry

• Nephrology Physician in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Nephrology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.