Active NPI
Grace Family Medicine
- Legal Medicine
- Hendersonville, NC
National Provider Identifier
1235318577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 86400
- 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
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, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 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 DirectoryLocations
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.
-
- Family Medicine Physician
- Lorain, OH
- NPI 1811972979
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.