Connie Lynne Grady, ARNP

Primary specialty

Occupational Health Nurse PractitionerTaxonomy code 363LX0106X

License

53660-2 Issued in FL

Practice address

3501 Johnson St
Hollywood, FL 33021-5421

Phone

(954) 985-3414

Fax

(954) 967-2984

NPI assigned

Apr 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518089895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21450 HIGHLAND LAKES BLVD",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331791661",
            "telephone_number": "305-935-0019",
            "fax_number": "954-967-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 JOHNSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215421",
            "telephone_number": "954-985-3414",
            "fax_number": "954-967-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "CONNIE",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "FL",
            "license": "53660-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bisma Gowani, DPM
• Gra Therapy Solutions, LLC (Ellie Mental Health)
• Grace Majestic Senior Residence LLC (Tomlins Luxurious Living LLC)
• Alexandra Grada, M.S., CCC-SLP
• Warren B. Graditor, PH.D.
• Morgan B Graesch, PTA
• Tiana L Graham
• Shirley Gramajo
• Gramic Research Laboratory, LLC
• Marilyn Oriana Granado Astudillo, SA-C

• Occupational Health Nurse Practitioner in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Occupational Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.