Grace Family Health LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GRACE FAMILY HEALTH LLC

Practice address

303 E Denman Ave Ste a
Lufkin, TX 75901-4090

Phone

(936) 209-4660

NPI assigned

Feb 18, 2020

Organization subpart

No

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

Authorized official

Name

Amber Davis

Title

FNP-C

Phone

(936) 645-2218

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Jouvonna Lynette Gray, FNP

  • Family Nurse Practitioner
  • Humble, TX
  • NPI 1821328949
  NPD (past)

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1154954196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 S JOHN REDDITT DR STE D",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045488",
            "telephone_number": "936-209-4660",
            "fax_number": "936-209-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E DENMAN AVE STE A",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759014090",
            "telephone_number": "936-209-4660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 S John Redditt Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "759045488",
            "country_code": "US",
            "telephone_number": "936-209-4660 x93620",
            "fax_number": "936-209-4660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACE FAMILY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "936-645-2218"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "AP144710",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gracefamilywellness@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "303 E Denman Ave Ste A",
            "city": "Lufkin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "759014090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Courtney Hanna Goodman, PA-C, MPA-S, B.S.
• Ervin Goodrum, PHARMD
• Talisha J Goolsby, RN
• Selestine King Goss
• Grace Counseling, PLLC
• Hannah Grandgeorge, PA-C
• Cristina M Graves, MD
• Allison Taylor Gray
• Amber Gray
• Morgan Grebe

• Clinic/Center in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.