Grace Neharah Glueck, LE

Primary specialty

SpecialistTaxonomy code 174400000X

License

L9730 Issued in CA

Practice address

1337 S Grand Blvd Ste 111
Spokane, WA 99202-1136

Phone

(506) 325-8484

NPI assigned

Oct 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1649995085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 S GRAND BLVD STE 111",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021136",
            "telephone_number": "506-325-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 S GRAND BLVD STE 111",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021136",
            "telephone_number": "506-325-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUECK",
        "first_name": "GRACE",
        "middle_name": "NEHARAH",
        "name_prefix": "Miss",
        "credential": "LE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "L9730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.garnetelctrology.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1337 S Grand Blvd Ste 111",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992021136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Specialist in Spokane, WA
• Providers in Spokane, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.