Active NPI
Grace Spradley
- Student in an Organized Health Care Education/Training Program
- Mesa, AZ
National Provider Identifier
1619777091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 5850 E Still Cir
Mesa, AZ 85206-3618 - Phone
- (480) 219-6000
- NPI assigned
- Mar 15, 2025
- Last updated
- Mar 15, 2025
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
5850 E Still Cir
Mesa, AZ 85206-3618
Mailing address
1415 SE Pardee St Apt 201
Portland, OR 97202-4851
Phone (505) 903-4336
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741996800000",
"number": "1619777091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 SE PARDEE ST APT 201",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972024851",
"telephone_number": "505-903-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 E STILL CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852063618",
"telephone_number": "480-219-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRADLEY",
"first_name": "GRACE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-15",
"last_updated": "2025-03-15",
"certification_date": "2025-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
- Spooner Physical Therapy & Hand Rehab, PC (Spooner Mesa Gateway)
- Carol Anne Spooner, NMD
- Kristina Michelle Spooner, AG-ACNP
- Spotsaz
- Michelle Spotskey, OT
- Beau Sprague
- Alexandra Sprauer
- David Edward Spring, D.D.S.
- Springboard Counseling Services, LLC (Avery's House)
- Springdale SNF Healthcare LLC (Springdale Village Post Acute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.