Grace Popham Hobbes, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT00377 Issued in RI

Practice address

110 Rome Ave
Providence, RI 02908-1227

Phone

(401) 499-1455

NPI assigned

Sep 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Grace Higgins Popham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1497426167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CUNNINGHAM SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029187001",
            "telephone_number": "401-865-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ROME AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029081227",
            "telephone_number": "401-499-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBES",
        "first_name": "GRACE",
        "middle_name": "POPHAM",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "RI",
            "license": "AT00377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "POPHAM",
            "middle_name": "HIGGINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hni Physician Services of Rhode Island, PC
• Jessica Bo-Ying Ho
• Jonathan Ho, MD
• Kimberly Ho, MD
• Tiffany Tin Tin Ho, MD, MPH
• Cassie Laurine Hobbs, MD
• Katherine Hobbs, MD
• Kathryn Alexandra Hobika, MD
• Mark William Hocevar, MD, MPH
• Rebecca Hockhousen, MS, CCC-SLP

• Athletic Trainer in Providence, RI
• Providers in Providence, RI by specialty
• Athletic Trainer in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.