Vladymir Gratia

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11004446 Issued in FL

Practice address

2054 Vista Pkwy Ste 400
West Palm Beach, FL 33411-6742

Phone

(321) 261-2009

Fax

(561) 437-8261

NPI assigned

Oct 9, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Gratia Advanced Health Practice L.L.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1588359467
  Medicare reassignment NPD Authorized official
• Ingenious Personalized Medicine, LLC

  • Clinical Medical Laboratory
  • North Miami, FL
  • NPI 1598161846
  NPD (past)
• Ingenious Personalized Medicine, LLC

  • Clinical Medical Laboratory
  • Lone Tree, CO
  • NPI 1982318671
  NPD (past)

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1760024871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 VISTA PKWY STE 400",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334116742",
            "telephone_number": "321-261-2009",
            "fax_number": "561-437-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 VISTA PKWY STE 400",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334116742",
            "telephone_number": "321-261-2009",
            "fax_number": "561-437-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRATIA",
        "first_name": "VLADYMIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-09",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11004446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105098800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Grant, M.A.
• Grapevine Care Services LLC
• Grapevine Care Services LLC
• Grapevine Medical Supply Inc
• Gratia Advanced Health Practice L.L.C.
• Gratitude House, Inc
• Jillian Grace Gravel, FNP-BC
• Lily Graves
• Alkeita Gray
• Vanessa Gray, LCSW, MCAP

• Psychiatric/Mental Health Nurse Practitioner in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.