Sheryl H Grace

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

WS-2015-01 Issued in NC

Legal business name

SHERYL H GRACE

Practice address

180 Thacker Rd
Rural Hall, NC 27045-9629

Phone

(336) 705-1763

NPI assigned

Aug 10, 2015

Last updated

Aug 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sheryl Hughey Grace, PHDNPI 1386026318

Title

Owner

Phone

(336) 705-1763

Specialties & licenses 1

Addresses

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.

• Sheryl Grace, PHD

  • Early Intervention Provider Agency
  • Rural Hall, NC
  • NPI 1386026318
  NPD (past) Authorized official

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1760868905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 THACKER RD",
            "city": "RURAL HALL",
            "state": "NC",
            "postal_code": "270459629",
            "telephone_number": "336-705-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 THACKER RD",
            "city": "RURAL HALL",
            "state": "NC",
            "postal_code": "270459629",
            "telephone_number": "336-705-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERYL H GRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "HUGHEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-705-1763",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NC",
            "license": "WS-2015-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Rural Hall, NC
• Providers in Rural Hall, NC by specialty
• Early Intervention Provider Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.