Grace Community Health LLC Inc.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

GRACE COMMUNITY HEALTH LLC INC.

Practice address

2001 W Ferguson Rd
Suite 1000
Mt Pleasant, TX 75455-2925

Phone

(903) 717-8712

NPI assigned

Sep 25, 2012

Organization subpart

No

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

Authorized official

Name

Misty Blalock, NP

Title

President

Phone

(903) 717-8712

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1669723003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W FERGUSON RD",
            "address_2": "SUITE 1000",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552925",
            "telephone_number": "903-717-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W FERGUSON RD",
            "address_2": "SUITE 1000",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552925",
            "telephone_number": "903-717-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COMMUNITY HEALTH LLC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "BLALOCK",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-717-8712",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary B Cole, MD, PA
• Aldine A Gearing, OT
• Aerial Shantelle George, CPNP-AC
• Matthew Gesell, DDS
• Mark James Glanzer, OD
• Christina Graham, CDCES
• Lenora Patterson Graziani, CRNA
• Anthony V Greco, M.D., F.A.A.D.
• Jacob Green, FNP-C
• Johnny L Greene, DDS

• Nurse Practitioner in Mt Pleasant, TX
• Providers in Mt Pleasant, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.