Grace Kidney Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

GRACE KIDNEY CARE

Practice address

4316 Dawson Dr
Baton Rouge, LA 70805-1429

Phone

(225) 802-0079

NPI assigned

Jul 2, 2020

Organization subpart

No

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

Authorized official

Name

Alise H Hall, NP

Title

NP

Phone

(225) 802-0079

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1417574690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74075",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708744075",
            "telephone_number": "225-802-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 DAWSON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708051429",
            "telephone_number": "225-802-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE KIDNEY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ALISE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "225-802-0079",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2347080",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Care LLC
• Grace Family Medical Center
• Grace for Grace Personal Care Services
• Grace Healthcare Incorporated
• Grace House of Baton Rouge, Inc.
• Grace Therapy Center, LLC
• Lori S Grace, NP
• Grace'S Nemt LLC
• Graceful Chariot Transporters
• Gracefully Purposed Counseling & Consulting, LLC

• Family Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; 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.