Individual provider Active NPI

Grace Joseph

  • Family Nurse Practitioner
  • Missouri City, TX
National Provider Identifier
1336782820
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143505 Issued in TX
Practice address
4501 Cartwright Rd Ste 504
Missouri City, TX 77459-3541
Phone
(713) 204-7735
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143505 TX Primary

Addresses

Primary practice location

4501 Cartwright Rd Ste 504
Missouri City, TX 77459-3541

Mailing address

4501 Cartwright Rd Ste 504
Missouri City, TX 77459-3541
Phone (713) 204-7735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200414001594 TX Practitioner - Nurse Practitioner 4183690605 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aman Ali Jafar, MD., PA CurrentSince May 20, 2024 Accepting new patients
Graces TLC Home Inc PastSince Aug 25, 2004 Accepting new patients

Locations

3531 Town Center Blvd S
Ste 101
Sugar Land, TX 77479
Phone (281) 491-3225

Interoperability endpoints

  • Direct secure messaging: gjoseph@landmarkhealth-direct.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1336782820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 CARTWRIGHT RD STE 504",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593541",
            "telephone_number": "713-204-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 CARTWRIGHT RD STE 504",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593541",
            "telephone_number": "713-204-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.