Grace Family Practice LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA 13542-NP Issued in OH

Legal business name

GRACE FAMILY PRACTICE LLC

Practice address

7368 County Road 623 Unit B
Millersburg, OH 44654-9256

Phone

(330) 473-6314

Fax

(330) 473-6321

NPI assigned

Sep 4, 2015

Organization subpart

No

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

Authorized official

Name

Susan Ann Rochelle

Title

Contract Manager, Cfo

Phone

(330) 473-6314

Specialties & licenses 2

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13749/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christina Marie Babbs

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Norwalk, OH
  • NPI 1003371188
  NPD

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565481600000",
    "number": "1760850911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7368 COUNTY ROAD 623 UNIT B",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446549256",
            "telephone_number": "330-473-6314",
            "fax_number": "330-473-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7368 COUNTY ROAD 623 UNIT B",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446549256",
            "telephone_number": "330-473-6314",
            "fax_number": "330-473-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2019-08-11",
        "status": "A",
        "authorized_official_last_name": "ROCHELLE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CONTRACT MANAGER, CFO",
        "authorized_official_telephone_number": "330-473-6314"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA 13542-NP",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "COA 12493-NM",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143152",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Eyecare Associates, Inc.
• Family Life Counseling & Psyciatric Services
• Jeremy Scott Flanders, D.C,
• Jenna Nichole Frakowski, D.O.
• Brianna L Frase
• Jacob Edgardo Gutierrez
• Samantha Grace Hall
• Winston G Hall, D.C.
• Jessica R Hart
• Health Professionals of Holmes County, Inc (Pomerene Medical Group)

• Family Nurse Practitioner in Millersburg, OH
• Providers in Millersburg, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.