Grace Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

GRACE CLINIC LLC

Practice address

3542 S Suncoast Blvd
Homosassa, FL 34448-2327

Phone

(352) 503-2078

Fax

(352) 503-6824

NPI assigned

Aug 6, 2014

Organization subpart

No

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

Authorized official

Name

John Hess, DNP

Title

President

Phone

(352) 503-2078

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1689083313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344230292",
            "telephone_number": "352-503-2078",
            "fax_number": "352-503-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3542 S SUNCOAST BLVD",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344482327",
            "telephone_number": "352-503-2078",
            "fax_number": "352-503-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-503-2078",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance Golbach
• Arlene Gomes
• Maria Gomez
• Lindsay Christine Goude, COTA/L
• David Goudie
• Susan Gradick
• Christie Graham, PTA
• Richard Graves
• Nathanael James Grener, PTA
• Luis Gutierrez, PTA

• Family Nurse Practitioner in Homosassa, FL
• Providers in Homosassa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.