Grace Wellness Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRACE WELLNESS CENTER LLC

Practice address

2504 Acorn St Ste a
Fort Pierce, FL 34947-4746

Phone

(772) 837-7800

Fax

(772) 837-7801

NPI assigned

Jun 18, 2020

Last updated

Mar 16, 2022By 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

Barbie Brunet, ARNPNPI 1174965438

Title

Owner/Provider

Phone

(772) 837-7800

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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 3

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.

• Barbie Brunet, ARNP

  • Family Nurse Practitioner
  • Fort Pierce, FL
  • NPI 1174965438

  Primary Care

  Medicare reassignment NPD Authorized official
• Arielle Tango, FNP-C

  • Family Nurse Practitioner
  • Fort Pierce, FL
  • NPI 1003584699
  NPD
• Amanda J Musselman, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Fort Pierce, FL
  • NPI 1649361197
  NPD (past)

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1497371108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 ACORN STREET",
            "address_2": "STE A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "34947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 ACORN ST STE A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474746",
            "telephone_number": "772-837-7800",
            "fax_number": "772-837-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "BRUNET",
        "authorized_official_first_name": "BARBIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "772-837-7800",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura B. Gowdy, LCSW
• Ajay Kumar Goyal, M.D.
• Anil K Goyal, MD
• Grace Therapies
• Grace Therapies, LLC
• Summer Smith Gragg, MSW
• Jenna Michelle Graham, LCSW
• Melanie R Graham, PMHNP-BC
• Maria Jose Granados Frias
• Loretta Grande, RMHC

• Family Medicine Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.