Grace Primary Care PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

GRACE PRIMARY CARE PLLC

Practice address

6520 W Highway 22
Crestwood, KY 40014

Phone

(502) 241-8488

NPI assigned

Oct 3, 2018

Last updated

Jun 11, 2019By 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

Renu B George, NPNPI 1528488285

Title

Owner

Phone

(502) 241-8488

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Renu Bijoy George, APRN

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1528488285
  Medicare reassignment Care Compare group NPD Authorized official
• Bridgette Loreen Carroll, APRN, FNP-C

  • Family Nurse Practitioner
  • Crestwood, KY
  • NPI 1598991853
  Medicare reassignment Care Compare group NPD
• Vishnukant Joshi, D.O

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1235319187
  Medicare reassignment Care Compare group NPD
• Melissa Patterson

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1740648500
  Medicare reassignment NPD
• Jason Pratt, APRN

  • Primary Care Nurse Practitioner
  • Louisville, KY
  • NPI 1659991313
  Medicare reassignment NPD
• Angela Quincy, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Nicholasville, KY
  • NPI 1841068905
  Medicare reassignment NPD
• Samjhana Thapa

  • Family Nurse Practitioner
  • Twentynine Palms, CA
  • NPI 1023870003

  KY, Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1679058804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 W HIGHWAY 22",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400149305",
            "telephone_number": "502-241-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 W HIGHWAY 22",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "40014",
            "telephone_number": "502-241-8488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6520 W Highway 22",
            "address_purpose": "LOCATION",
            "city": "Crestwood",
            "state": "KY",
            "postal_code": "40014",
            "country_code": "US",
            "telephone_number": "502-241-8488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACE PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "RENU",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-241-8488",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100321490",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amyee Gibbons, MS BCBA LBA
• Renee V Girdler, MD
• Tara Bramblette Gnau, M.S. CCC-SLP
• Patricia L Gosnell, LCSW
• Alan R Gould, DDS, MS
• Hannah Kathryn Graham
• Heather Gream, DPT
• Ashlen Grubbs, LBA, BCBA
• Lucas W Gunnels, MD
• Brooke A Hall

• Family Nurse Practitioner in Crestwood, KY
• Providers in Crestwood, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.