Grace Jacobson Conway, CNP (CERTIFIED NURSE

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

CNP-03505 Issued in NM

Practice address

201 Cedar St SE S1-20
Albuquerque, NM 87106-4900

Phone

(505) 248-0000

Fax

(505) 842-0000

NPI assigned

Apr 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Grace Hannah Isabella Jacobson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049
  NPD (past)
• The Fertility Center of New Mexico LLC

  • Reproductive Endocrinology Physician
  • Albuquerque, NM
  • NPI 1629443049
  NPD (past)

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1912494311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CEDAR ST SE S1-20",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064900",
            "telephone_number": "505-248-0000",
            "fax_number": "505-842-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CEDAR ST SE S1-20",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064900",
            "telephone_number": "505-248-0000",
            "fax_number": "505-842-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "GRACE",
        "middle_name": "JACOBSON",
        "name_prefix": "Ms.",
        "credential": "CNP (CERTIFIED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-20",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NM",
            "license": "CNP-03505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "JACOBSON",
            "middle_name": "HANNAH ISABELLA",
            "prefix": "MS.",
            "credential": "CNP (CERTIFIED NURSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Reynaldo David Contreras, MD
• Rosie Contreras
• Valeria Contreras, M.D.
• Hannah Contrucci, RDN, LD
• Jade Contrucci
• Mahalee Conway
• Melanie Conway
• Whitney L Conyers, MSW, LCSW
• Heather Ann Conyngham, PHD
• Brooke Danielle Conzo, D.C.

• Women's Health Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Women's Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.