Graceway Direct Primary Care, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GRACEWAY DIRECT PRIMARY CARE, PLLC

Doing business as

GraceWay Direct

Practice address

5807 Hasbrook Dr
Louisville, KY 40229-2984

Phone

(502) 709-0590

NPI assigned

Apr 16, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Lori Williams, APRN

Title

Owner

Phone

(502) 709-0590

Specialties & licenses 1

Addresses

Other names 1

• GraceWay Direct Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24640/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1689255127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 HASBROOK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 HASBROOK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292984",
            "telephone_number": "502-709-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEWAY DIRECT PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-709-0590",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GraceWay Direct",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Physical Therapy LLC
• Grace Psychological Services, LLC
• Amya Grace, LPN
• Daniel John Grace, MD
• Gracepoint Youth Home
• Stacey L Graden, D.M.D.
• Judy Poiry Gradl, OTR/L
• Jennifer Ann Grady, MD
• Maeve Eileen Grady, OTD, OTR/L
• Susan Marie Grady, O.D.

• Primary Care Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Primary Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.