Active NPI
Grace Clinic
- Primary Care Clinic/Center
- Houston, TX
National Provider Identifier
1487439386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- GRACE CLINIC
- Practice address
- 3502 Liberty Rd
Houston, TX 77026-6243 - Phone
- (713) 417-0479
- NPI assigned
- Aug 29, 2023
- Last updated
- Aug 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheila Young, FNP-BC
- Title
- Ceo
- Phone
- (713) 417-0479
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
3502 Liberty Rd
Houston, TX 77026-6243
Mailing address
3502 Liberty Rd
Houston, TX 77026-6243
Phone (713) 417-0479
National Provider Directory
National Provider DirectoryLocations
3502 Liberty Rd
Houston, TX 77026
Phone (713) 223-9934
Interoperability endpoints
- https://api.platform.athenahealth.com/18148/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1093252694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693267200000",
"number": "1487439386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3502 LIBERTY RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770266243",
"telephone_number": "713-417-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3502 LIBERTY RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770266243",
"telephone_number": "713-417-0479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-29",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "SHEILA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "713-417-0479",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.