Organization Active NPI

Grace Family Medicine

  • Legal Medicine
  • Hendersonville, NC
National Provider Identifier
1235318577
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
86400 Issued in NC
Legal business name
GRACE FAMILY MEDICINE
Practice address
902 Fleming St Ste B
Hendersonville, NC 28791-3504
Phone
(828) 694-0013
Fax
(828) 693-3430
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Dr. Kathleen Meehan-de la Cruz, MDNPI 1811972979
Title
Physician/Owner
Phone
(828) 694-0013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 86400 NC Primary

Addresses

Primary practice location

902 Fleming St Ste B
Hendersonville, NC 28791-3504

Mailing address

902 Fleming St Ste B
Hendersonville, NC 28791-3504
Phone (828) 694-0013

National Provider Directory

National Provider Directory

Locations

902 Fleming St
Ste B
Hendersonvlle, NC 28791
Phone (828) 693-6366

Practitioners & affiliated clinicians

Practitioners 1

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": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1235318577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FLEMING ST STE B",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913504",
            "telephone_number": "828-694-0013",
            "fax_number": "828-693-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FLEMING ST STE B",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913504",
            "telephone_number": "828-694-0013",
            "fax_number": "828-693-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "MEEHAN-DE LA CRUZ",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "828-694-0013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NC",
            "license": "86400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.