Individual provider Active NPI

Nora Mary Grady, MSN, RN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1821756032
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11021949 Issued in FL
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

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
APRN11021949FLMDPediatric Nurse Practitioner
R251702MDMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Florida, LLC Past Accepting new patients
Infants and Children, P.a. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1550/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.