Grace Integrative Healthcare, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5008698 Issued in NC

Legal business name

GRACE INTEGRATIVE HEALTHCARE, LLC

Practice address

1623 York Ave Ste 103
High Point, NC 27265-2355

Phone

(336) 715-0007

Fax

(336) 915-2405

NPI assigned

Aug 21, 2017

Organization subpart

No

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

Authorized official

Name

Amy R Webb

Title

Cfo

Phone

(336) 715-0007

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225554355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 YORK AVE STE 103",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652355",
            "telephone_number": "336-715-0007",
            "fax_number": "336-915-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 YORK AVE STE 103",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652355",
            "telephone_number": "336-715-0007",
            "fax_number": "336-915-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE INTEGRATIVE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "336-715-0007"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008698",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5008698",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008698",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5008698",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coleson RJ Gordon
• Alan Charles Gorrod
• Brian Andrew Gottwalt, DO
• Robert Michael Goudy, DC
• Ilona Davidovna Goukassian, D.O.
• Kenneth Charles Gracz, MD
• Charles M Graeub Jr., M.D.
• Kathy Ann Granger, CNM
• Ursula N Grant, FNP -C
• Bianca Danielle Graves

• Family Nurse Practitioner in High Point, NC
• Providers in High Point, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.