Active NPI
Grace Medical Wellness Group LLC
- Family Nurse Practitioner
- Kingman, AZ
National Provider Identifier
1700798337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- GRACE MEDICAL WELLNESS GROUP LLC
- Practice address
- 1115 N Stockton Hill Rd Ste 101
Kingman, AZ 86401-6232 - Phone
- (928) 263-1481
- Fax
- (928) 307-7688
- NPI assigned
- Sep 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danni Owens
- Title
- Owner
- Phone
- (928) 715-4783
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1115 N Stockton Hill Rd Ste 101
Kingman, AZ 86401-6232
Mailing address
1115 N Stockton Hill Rd Ste 101
Kingman, AZ 86401-6232
Phone (928) 263-1481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789689600000",
"number": "1700798337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 N STOCKTON HILL RD STE 101",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864016232",
"telephone_number": "928-263-1481",
"fax_number": "928-307-7688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 N STOCKTON HILL RD STE 101",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864016232",
"telephone_number": "928-263-1481",
"fax_number": "928-307-7688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE MEDICAL WELLNESS GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-18",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A",
"authorized_official_last_name": "OWENS",
"authorized_official_first_name": "DANNI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "928-715-4783"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.