Active NPI
Grace NP MD Adult Family Care LLC
- Family Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1710556956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- GRACE NP MD ADULT FAMILY CARE LLC
- Practice address
- 4721 N 1St Ave
Tucson, AZ 85718-5610 - Phone
- (520) 373-6550
- NPI assigned
- Jun 22, 2021
- Last updated
- Jun 22, 2021
- 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
- Gloria Anyaeji, NP
- Title
- Owner Member
- Phone
- (520) 331-7462
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
4721 N 1St Ave
Tucson, AZ 85718-5610
Mailing address
8311 W Canvasback LN
Tucson, AZ 85757-6826
Phone (520) 331-7462
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Tucson, AZ
- NPI 1265025332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624320000000",
"number": "1710556956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8311 W CANVASBACK LN",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857576826",
"telephone_number": "520-331-7462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4721 N 1ST AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857185610",
"telephone_number": "520-373-6550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE NP MD ADULT FAMILY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A",
"authorized_official_last_name": "ANYAEJI",
"authorized_official_first_name": "GLORIA",
"authorized_official_title_or_position": "OWNER MEMBER",
"authorized_official_telephone_number": "520-331-7462",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
- Grace Hospice and Palliative Care LLC (Grace Hospice)
- Grace Hou MD PC
- Grace Maternity & Women's Health, PLLC
- Grace Medical Group LLC (Uplift Wellness Wheels)
- Grace Neuro Rehab & Wellness, PC
- Grace7 Non-Emergency Medical Transportation LLC
- Graceful Beginnings Midwifery, LLC
- Celeste Renee Gracey, DO
- Justin Gracia, RBT
- Karla J. Gracia, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.