Grace Medical Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GRACE MEDICAL SERVICES LLC

Practice address

6600 York Rd Ste 200B
Baltimore, MD 21212-2024

Phone

(443) 275-1031

Fax

(443) 275-2597

NPI assigned

May 24, 2021

Last updated

May 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Agatha N UkaegbuNPI 1346752433

Title

Owner of Entity

Phone

(443) 275-1031

Specialties & licenses 1

Addresses

Tax ID family

Grace Medical Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grace Medical Services LLC

  • Primary Care Nurse Practitioner
  • Baltimore, MD
  • NPI 1487229639
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Agatha N Ukaegbu, NP

  • Primary Care Nurse Practitioner
  • Rosedale, MD
  • NPI 1346752433

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1346815180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 YORK RD STE 200B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122024",
            "telephone_number": "443-275-1031",
            "fax_number": "443-275-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 YORK RD STE 200B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122024",
            "telephone_number": "443-275-1031",
            "fax_number": "443-275-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "UKAEGBU",
        "authorized_official_first_name": "AGATHA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "443-275-1031"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Medical Center, Inc.
• Grace Medical Center, Inc.
• Grace Medical Center, Inc.
• Grace Medical Center, Inc.
• Grace Medical Center, Inc.
• Grace Medical Services LLC
• Grace Medical Supplies Inc.
• Grace Outreach Adc
• Candice D Grace-Lee, M.D.
• Annie Kathleen Grace, CRNP

• Psychiatric/Mental Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner 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.