Active NPI
Elizabeth Kathleen Grady, NMD DOCTOR OF NATURO
- Family Medicine Physician
- Tucson, AZ
National Provider Identifier
1396954574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00572
- Practice address
- 130 W River Rd
BLDG a
Tucson, AZ 85704 - Phone
- (520) 877-2668
- Fax
- (520) 888-2004
- NPI assigned
- May 22, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00572 | AZ | Primary |
Addresses
Primary practice location
130 W River Rd
BLDG a
Tucson, AZ 85704
Mailing address
9920 N Hacienda Hermosa Dr
Oro Valley, AZ 85737
Phone (520) 878-0526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00572 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396954574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9920 N HACIENDA HERMOSA DR",
"city": "ORO VALLEY",
"state": "AZ",
"postal_code": "85737",
"telephone_number": "520-878-0526",
"fax_number": "520-878-0526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W RIVER RD",
"address_2": "BLDG A",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85704",
"telephone_number": "520-877-2668",
"fax_number": "520-888-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADY",
"first_name": "ELIZABETH",
"middle_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "NMD DOCTOR OF NATURO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "00572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.