Grace Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

GRACE CLINIC

Practice address

3502 Liberty Rd
Houston, TX 77026-6243

Phone

(713) 993-6000

NPI assigned

Oct 18, 2023

Last updated

Oct 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheila YoungNPI 1093252694

Title

Ceo/Owner

Phone

(713) 417-0479

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheila Young, FNP-BC

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1093252694
  Medicare reassignment NPD Authorized official
• CHI Si Choi, M.D.

  • Cardiovascular Disease Physician
  • Houston, TX
  • NPI 1336182294
  Medicare reassignment NPD

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1629850151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 LIBERTY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770266243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 LIBERTY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770266243",
            "telephone_number": "713-993-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "713-417-0479"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace and Joy Transitional/Assistant Living
• Grace and Mercy Home Care
• Grace Behavioral Health Center
• Grace Care
• Grace Clinic
• Grace Driven Transportation
• Grace Emergency Room, LLC
• Grace ER, PA
• Grace Extended Residential Assisted Living
• Grace Grace Durable Medical Equipment and Supplies. LLC

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.