Active NPI
Nora Mary Grady, MSN, RN, CPNP-PC
- Pediatric Nurse Practitioner
- Palm Beach Gardens, FL
National Provider Identifier
1821756032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN11021949
- Practice address
- 9121 N Military TRL Ste 102
Palm Beach Gardens, FL 33410-5985 - Phone
- (561) 619-2460
- Fax
- (844) 886-3192
- NPI assigned
- Dec 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R251702 | MD | |
| Pediatric Nurse Practitioner | 363LP0200X | APRN11021949 | FL | Primary |
Addresses
Primary practice location
9121 N Military TRL Ste 102
Palm Beach Gardens, FL 33410-5985
Mailing address
11315 Pembrooke SQ Ste 110
Waldorf, MD 20603-4806
Phone (301) 645-6165
Other practice location 1
23000 Moakley St
Leonardtown, MD 20650-2915
Phone (301) 475-7222
Other practice location 2
11315 Pembrooke Sq Ste 110
Waldorf, MD 20603-4806
Phone (301) 843-6996
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
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11021949 | FL | MD | Pediatric Nurse Practitioner |
| R251702 | MD | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Florida, LLC | Past | Accepting new patients | |
| Infants and Children, P.a. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/1550/brand/1/csg/1/fhir/r4
- nora.grady.1@8042.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- West Palm Beach, FL
- NPI 1255332110
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1821756032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11315 PEMBROOKE SQ STE 110",
"city": "WALDORF",
"state": "MD",
"postal_code": "206034806",
"telephone_number": "301-645-6165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9121 N MILITARY TRL STE 102",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334105985",
"telephone_number": "561-619-2460",
"fax_number": "844-886-3192"
}
],
"practiceLocations": [
{
"address_1": "23000 Moakley St",
"address_purpose": "LOCATION",
"city": "Leonardtown",
"state": "MD",
"postal_code": "206502915",
"country_code": "US",
"telephone_number": "301-475-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11315 Pembrooke Sq Ste 110",
"address_purpose": "LOCATION",
"city": "Waldorf",
"state": "MD",
"postal_code": "206034806",
"country_code": "US",
"telephone_number": "301-843-6996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRADY",
"first_name": "NORA",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "MSN, RN, CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-05",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "R251702",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN11021949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.