Active NPI
Gracie A Turner, D.O.
- Internal Medicine Physician
- Stuart, FL
National Provider Identifier
1619212834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS 11965
- Practice address
- 900 SE Ocean Blvd Ste 215B
Stuart, FL 34994-2471 - Phone
- (772) 781-5434
- Fax
- (772) 223-5789
- NPI assigned
- Nov 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS 11965 | FL | Primary |
Addresses
Primary practice location
900 SE Ocean Blvd Ste 215B
Stuart, FL 34994-2471
Mailing address
900 SE Ocean Blvd Ste 215B
Stuart, FL 34994-2471
Phone (772) 781-5434
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14WP1 | Other | FL | FLORIDA BLUE |
| 012645800 | Medicaid | FL |
Other names 1
- Gracie A Blum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 1, 2020 through Mar 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS 11965 | FL | MD | Internal Medicine Physician |
Interoperability endpoints
- gracie.turner@1027260415475716.direct.elationemr.com
- gracie.turner@273753349095428.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1619212834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 SE OCEAN BLVD STE 215B",
"city": "STUART",
"state": "FL",
"postal_code": "349942471",
"telephone_number": "772-781-5434",
"fax_number": "772-403-9228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 SE OCEAN BLVD STE 215B",
"city": "STUART",
"state": "FL",
"postal_code": "349942471",
"telephone_number": "772-781-5434",
"fax_number": "772-223-5789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "GRACIE",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-28",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS 11965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "14WP1",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012645800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GRACIE",
"last_name": "BLUM",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.