Grace Community Medical Center

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

GRACE COMMUNITY MEDICAL CENTER

Practice address

3222 N 34TH St
Tampa, FL 33605-2227

Phone

(813) 930-5642

Fax

(813) 374-4979

NPI assigned

May 27, 2021

Organization subpart

No

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

Authorized official

Name

Grace Glenn

Title

Executive Director

Phone

(813) 930-5642

Specialties & licenses 1

Addresses

Electronic endpoints 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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Morgan Monthony, DNP, ARNP, FNP-BC

  • Nurse Practitioner
  • Tampa, FL
  • NPI 1679234488
  NPD (past)

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1548836927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270114",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336880114",
            "telephone_number": "813-930-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 N 34TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336052227",
            "telephone_number": "813-930-5642",
            "fax_number": "813-374-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COMMUNITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "813-930-5642"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ehr",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3222 N 34th St",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336052227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Faustino Grabau, PSY.D.
• Mikayla Graber
• Nancy Lee Graber, PH.D., LMHC
• Aneta Graca, MASSAGE THERAPIST
• Grace a&Y Home Care Inc
• Grace for H.O.P.E.
• Grace House of Tampa
• Ashley Diane Grace
• Graced Care Providers, L.L.C.
• Graced Helping Hands LLC

• Community Health Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Community Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.