Active NPI
Grace Benedict
- Behavior Analyst
- Murfreesboro, TN
National Provider Identifier
1891436952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1219
- Practice address
- 636 Laurel LN
Murfreesboro, TN 37127-6420 - Phone
- (615) 330-7220
- NPI assigned
- Apr 5, 2022
- Last updated
- Apr 2, 2023
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 000617457 | TN | |
| Behavior Analyst | 103K00000X | 1219 | TN | Primary |
Addresses
Primary practice location
636 Laurel LN
Murfreesboro, TN 37127-6420
Mailing address
636 Laurel LN
Murfreesboro, TN 37127-6420
Phone (615) 330-7220
Other names 1
- Grace Elizabeth Williams
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1219 | TN | MD | Behavioral Analyst |
| 000617457 | TN | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680393600000",
"number": "1891436952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 LAUREL LN",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371276420",
"telephone_number": "615-330-7220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 LAUREL LN",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371276420",
"telephone_number": "615-330-7220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEDICT",
"first_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2023-04-02",
"certification_date": "2023-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TN",
"license": "000617457",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "1219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GRACE",
"last_name": "WILLIAMS",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.