Desiree Grady

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP51508 Issued in MD

Practice address

2 W Aylesbury Rd
Timonium, MD 21093-4101

Phone

(410) 561-9591

NPI assigned

May 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1265007173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W AYLESBURY RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210934101",
            "telephone_number": "410-561-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W AYLESBURY RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210934101",
            "telephone_number": "410-561-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "DESIREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "LP51508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "baltimore",
            "affiliation": "N",
            "address_1": "2 W Aylesbury Rd",
            "city": "Timonium",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210934101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David John Goodwin Jr., PT
• Makayla Gordon
• Stuart Marshall Gordon, D.D.S.
• Susan Elizabeth Gorell, MD
• Mona Elisabeth Gorman, DDS
• Nikolai Ivanov Grammer, ADT
• Hillary Grande, M.ED, BCBA, LBA
• Alexandra Gray, M.A.
• Greater Baltimore Medical Center, Inc.
• Greater Baltimore Medical Center, Inc.

• Licensed Practical Nurse in Timonium, MD
• Providers in Timonium, MD by specialty
• Licensed Practical Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.