Graceful Reflection, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

GRACEFUL REFLECTION, LLC

Practice address

12855 Edgewood Park Dr
Houston, TX 77038-4023

Phone

(832) 808-5734

NPI assigned

Nov 8, 2024

Organization subpart

No

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

Authorized official

Name

Ashley A Lopez, AGCNSNPI 1225722192

Title

Practitioner

Phone

(832) 808-5734

Specialties & licenses 1

Addresses

Other names 1

• GR Dermatology and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Ashley Amber Lopez

  • Adult Health Nurse Practitioner
  • New Braunfels, TX
  • NPI 1225722192

  Dermatology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756512000000",
    "number": "1356165237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 EDGEWOOD PARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770384023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 EDGEWOOD PARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770384023",
            "telephone_number": "832-808-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL REFLECTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2025-08-30",
        "certification_date": "2025-08-30",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "832-808-5734",
        "authorized_official_credential": "AGCNS"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GR Dermatology and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GR Dermatology and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Graceful Care Incorporated
• Graceful Health Center
• Graceful Living Home and Health LLC
• Graceful Living Hospices & Palliative Inc
• Graceful Love Care Home LLC
• Graceful Therapy LLC
• Gracefull Home Health Inc
• Jill Marie Gracely, LCSW
• Graces TLC Home Inc
• Gracesprings Healthcare Services

• Dermatology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.