Active NPI
Taylor Grace, LPN
- Licensed Practical Nurse
- Toledo, OH
National Provider Identifier
1760902050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN.173362.MEDS-IV
- Practice address
- 115 E Oakland
Toledo, OH 43608 - Phone
- (404) 449-9475
- NPI assigned
- Jun 27, 2017
- Reactivated
- Feb 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.173362.MEDS-IV | OH | Primary |
Addresses
Primary practice location
115 E Oakland
Toledo, OH 43608
Mailing address
115 E Oakland St
Toledo, OH 43608
Phone (404) 449-9475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN.173362.MEDS-IV | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1760902050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E OAKLAND ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43608",
"telephone_number": "404-449-9475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E OAKLAND",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43608",
"telephone_number": "404-449-9475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACE",
"first_name": "TAYLOR",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-27",
"last_updated": "2022-07-21",
"certification_date": "2020-02-26",
"deactivation_date": "2019-12-03",
"reactivation_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN.173362.MEDS-IV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.