NPIMap

Organization Active NPI

Infinite Grace Academy

  • Community/Behavioral Health Agency
  • Fort Walton Beach, FL
National Provider Identifier
1588898779
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INFINITE GRACE ACADEMY
Practice address
2108 Lewis Turner Blvd.
Ft. Walton Beach, FL 32547
Phone
(850) 864-2273
Fax
(850) 862-6270
NPI assigned
May 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Lynn D. Lambert, MS CCC SLP
Title
Co-Owner
Phone
(850) 864-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2108 Lewis Turner Blvd.
Ft. Walton Beach, FL 32547

Mailing address

2108 Lewis Turner Blvd.
Ft. Walton Beach, FL 32547
Phone (850) 864-2273

Other names 1

  • Infinate Grace Academy Former legal business name

National Provider Directory

National Provider Directory

Locations

2108 Lewis Turner Blvd
Fort Walton Beach, FL 32547
Phone (850) 862-3728

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1588898779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 LEWIS TURNER BLVD.",
            "city": "FT. WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-864-2273",
            "fax_number": "850-862-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 LEWIS TURNER BLVD.",
            "city": "FT. WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-864-2273",
            "fax_number": "850-862-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE GRACE ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "850-864-2273",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infinate Grace Academy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.