NPIMap

Individual provider Active NPI

Chad Lee Grady, APRN

  • Family Nurse Practitioner
  • Batesville, AR
National Provider Identifier
1689131567
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A006152 Issued in AR
Practice address
501 Virginia Dr Ste C
Batesville, AR 72501-7317
Phone
(870) 793-2371
Fax
(870) 793-7585
NPI assigned
Feb 27, 2019
Last updated
Feb 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A006152 AR Primary

Addresses

Primary practice location

501 Virginia Dr Ste C
Batesville, AR 72501-7317

Mailing address

16 Hospital Cir Ste a
Batesville, AR 72501-7343
Phone (870) 262-5545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190415002104 AR Practitioner - Nurse Practitioner 7416298799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White River Health System, Inc.Group PAC ID 0143134270, 190 clinicians

Practice addresses (Care Compare)

1690 Harrison St
WRMC Orthopaedic and Sports Medicine Clinic
Batesville, AR 72501-7317
Phone (870) 793-2371

1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 262-1200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
White River Health System, Inc. CurrentSince Feb 27, 2019 Accepting new patients
White River Health System, Inc Current Accepting new patients
White River Health System, Inc. CurrentSince Feb 27, 2019 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

16 Hospital Cir
Ste A
Batesville, AR 72501
Phone (870) 269-4361

1690 Harrison St
Batesville, AR 72501

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

501 Virginia Dr
Ste C
Batesville, AR 72501

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1689131567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL CIR STE A",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017343",
            "telephone_number": "870-262-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 VIRGINIA DR STE C",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017317",
            "telephone_number": "870-793-2371",
            "fax_number": "870-793-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "CHAD",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A006152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.