NPIMap

Organization Active NPI

Clar and Grace Medical Clinic

  • Clinic/Center
  • Zephyrhills, FL
National Provider Identifier
1871174334
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CLAR AND GRACE MEDICAL CLINIC
Practice address
38439 5TH Ave
PMB 174
Zephyrhills, FL 33542-4328
Phone
(813) 456-2713
NPI assigned
Apr 16, 2021
Last updated
Apr 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Beverly Broome, ARNPNPI 1942551122
Title
Ownere
Phone
(813) 546-2713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

38439 5TH Ave
PMB 174
Zephyrhills, FL 33542-4328

Mailing address

38439 5TH Ave
PMB 174
Zephyrhills, FL 33542-4328
Phone (813) 456-2713

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1871174334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38439 5TH AVE",
            "address_2": "PMB 174",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335424328",
            "telephone_number": "813-456-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38439 5TH AVE",
            "address_2": "PMB 174",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335424328",
            "telephone_number": "813-456-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAR AND GRACE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "BROOME",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OWNERE",
        "authorized_official_telephone_number": "813-546-2713",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.