Grace Monitoring

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

2033 Issued in TX

Legal business name

GRACE MONITORING

Practice address

1431 Greenway Dr
Suite 800
Irving, TX 75038-2448

Phone

(214) 516-2617

NPI assigned

May 6, 2013

Organization subpart

No

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

Authorized official

Name

Marisa Goddard, CNIM

Title

Neurophysiologist

Phone

(214) 516-2617

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1831534726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 GREENWAY DR",
            "address_2": "SUITE 800",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75038",
            "telephone_number": "214-516-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 GREENWAY DR",
            "address_2": "SUITE 800",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382448",
            "telephone_number": "214-516-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MONITORING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "NEUROPHYSIOLOGIST",
        "authorized_official_telephone_number": "214-516-2617",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "TX",
            "license": "2033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naga Manasa Govindarajula
• Dinesh Nanjunde Gowda, M.D.
• GP Podiatry Associates
• Grace Dental
• Grace Dental, P.a.
• Lorenda L. Grace, DDS
• Gracenelly Services Inc.
• Selina Lorraine Graham-Moline, OTR-L, OTD
• Ben Ray Graham, PA-C
• Brandy Nichole Graham, FNP

• Electroneurodiagnostic Specialist/Technologist in Irving, TX
• Providers in Irving, TX by specialty
• Electroneurodiagnostic Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.