Grace Hildebrant

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

14150 Hamilton Lake Rd
Newberry, MI 49868

Phone

(906) 293-5107

NPI assigned

Apr 23, 2025

Last updated

Apr 23, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1760279665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14150 HAMILTON LAKE RD",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "49868",
            "telephone_number": "906-293-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14150 HAMILTON LAKE RD",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "49868",
            "telephone_number": "906-293-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDEBRANT",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anne Johnson, LLC
• Michael D Johnson, PA

• Community Health Worker in Newberry, MI
• Providers in Newberry, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.