Jeanie Grace, PHD, AP, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP3591 Issued in FL

Practice address

3700 N Harbor City Blvd Ste 2B
Melbourne, FL 32935-5792

Phone

(321) 890-2082

NPI assigned

Jan 31, 2007

Last updated

Oct 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1710024393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 SPRING VALLEY DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401718",
            "telephone_number": "321-890-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 N HARBOR CITY BLVD STE 2B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355792",
            "telephone_number": "321-890-2082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5855 E Naples Plz Ste 206",
            "address_2": "Age-less Acupuncture and Wellness Center",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908035079",
            "country_code": "US",
            "telephone_number": "562-434-2700",
            "fax_number": "562-434-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRACE",
        "first_name": "JEANIE",
        "name_prefix": "Dr.",
        "credential": "PHD, AP, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 5272",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Joseph Gough, PTA
• Amy Kristina Gould
• Richard E Goulding, M.D.
• Dorothy Kaye Goynes
• Brittney Grace, CRNA
• Gracefully Transparent L.L.C
• Agustin Gracia III, LCSW
• Kadri Graff
• Kenneth S Graff, MD
• Lynette M Graff, MD

• Acupuncturist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.