Grace Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRACE CLINIC

Practice address

800 W Canal Dr
Kennewick, WA 99336-3564

Phone

(509) 735-2300

Fax

(509) 735-2323

NPI assigned

Nov 12, 2024

Last updated

Nov 12, 2024By 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

Kathryn Brault, ARNPNPI 1023047214

Title

Medical Director

Phone

(509) 551-0944

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Kathryn S Brault, ARNP

  • Family Nurse Practitioner
  • Richland, WA
  • NPI 1023047214
  NPD Authorized official
• Iyad Jamali, MD

  • Cardiovascular Disease Physician
  • Richland, WA
  • NPI 1144256181
  NPD (past)

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1407670839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W CANAL DR",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363564",
            "telephone_number": "509-735-2300",
            "fax_number": "509-735-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CANAL DR",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363564",
            "telephone_number": "509-735-2300",
            "fax_number": "509-735-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "BRAULT",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "509-551-0944",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Molly Gore, L.M.T
• Kathleen Gorman
• Avishek Goswami, MD
• Joanna Goulart
• Emma Grabinski, MD
• Kylie Grace
• Cassady Graham
• Stacy Lynn Graham, CPHT
• Carissa Granata
• Katherine Grant, LICSW

• Family Medicine Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.