Grace Wellness LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

GRACE WELLNESS LLC

Practice address

107 Imperial Blvd Ste 5
Hendersonville, TN 37075-3492

Phone

(615) 757-6787

Fax

(615) 378-3606

NPI assigned

Feb 8, 2023

Organization subpart

No

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

Authorized official

Name

Sheila Douglas, NPNPI 1760909261

Title

Co-Owner

Phone

(615) 878-6406

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Jamison Cornett, APRN, FNP-BC

  • Family Nurse Practitioner
  • Gallatin, TN
  • NPI 1093327066
  Medicare reassignment Care Compare group NPD
• Sheila Marie Douglas

  • Family Nurse Practitioner
  • Goodlettsville, TN
  • NPI 1760909261
  Medicare reassignment NPD Authorized official
• Deishia Warren

  • Family Nurse Practitioner
  • Hendersonville, TN
  • NPI 1336756824
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1326745522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 IMPERIAL BLVD STE 5",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753492",
            "telephone_number": "615-757-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 IMPERIAL BLVD STE 5",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753492",
            "telephone_number": "615-757-6787",
            "fax_number": "615-378-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-05-22",
        "certification_date": "2023-04-08",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "615-878-6406",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocky J Goodall, BOCP/L
• Kaci Goodgame, LDN
• Elizabeth E. Goodman, O.D.
• Etta Goodwin, LCSW
• Linda Janet Gottfried
• Kash Graham, BT
• Savannah Grant
• Taylor Murphy Grantham, DPT
• Samantha Gray, NP
• Morgan Greene, MS, CCC-SLP

• Nurse Practitioner in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.