Grace Concierge and Wellness Services, PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

GRACE CONCIERGE AND WELLNESS SERVICES, PLLC

Practice address

1100 S Stratford Rd Ste 524
Winston Salem, NC 27103-3227

Phone

(336) 245-8800

Fax

(336) 717-0568

NPI assigned

Oct 25, 2025

Last updated

Jul 15, 2026By 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

Mrs. Latara Craddock, FNP-BCNPI 1942821152

Title

Owner/Operator

Phone

(336) 245-8800

Specialties & licenses 1

Addresses

Locations

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.

• Latara K Craddock, FNP-BC

  • Family Nurse Practitioner
  • Winston Salem, NC
  • NPI 1942821152
  NPD Authorized official

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

{
    "created_epoch": "1761350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1770451445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S STRATFORD RD STE 524",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033227",
            "telephone_number": "336-245-8800",
            "fax_number": "336-717-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S STRATFORD RD STE 524",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033227",
            "telephone_number": "336-245-8800",
            "fax_number": "336-717-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CONCIERGE AND WELLNESS SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-25",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "CRADDOCK",
        "authorized_official_first_name": "LATARA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "336-245-8800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.