Active NPI
Tabitha Grady, WHNP-BC
- Women's Health Nurse Practitioner
- Holland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 4704300959
- Practice address
- 664 Michigan Ave
Holland, MI 49423-4944 - Phone
- (616) 392-5973
- NPI assigned
- Dec 4, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 4704300959 | MI | Primary |
Addresses
Primary practice location
664 Michigan Ave
Holland, MI 49423-4944
Mailing address
3583 Arbor Chase CT NE
Grand Rapids, MI 49525-9454
Phone (928) 600-7779
Other practice location 1
655 Kenmoor Ave SE Ste 201
Grand Rapids, MI 49546-8604
Phone (616) 920-0825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
655 Kenmoor Ave SE
Suite 201
Grand Rapids, MI 49546-8604
Phone (616) 920-0825
664 Michigan Ave
Holland, MI 49423-4944
Phone (616) 392-5973
Hospital & facility affiliations
- Holland Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OB/GYN Associates of Holland, PC | Current | Accepting new patients | |
| Breast Health & Wellness Center PC | Current | Accepting new patients |
Locations
655 Kenmoor Ave SE
Ste 201
Grand Rapids, MI 49546
Phone (616) 920-0825
664 Michigan Ave
Holland, MI 49423
Phone (616) 392-5973
Interoperability endpoints
- tabithagrady@obgynahpc.allscriptsdirect.net
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.
-
- Surgery Physician
- Grand Rapids, MI
- NPI 1710378989
-
- Obstetrics & Gynecology Physician
- Holland, MI
- NPI 1003988460
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Holland, MI
- NPI 1871672618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1952117152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3583 ARBOR CHASE CT NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259454",
"telephone_number": "928-600-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 MICHIGAN AVE",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494234944",
"telephone_number": "616-392-5973"
}
],
"practiceLocations": [
{
"address_1": "655 Kenmoor Ave SE Ste 201",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495468604",
"country_code": "US",
"telephone_number": "616-920-0825",
"fax_number": "616-920-0830",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRADY",
"first_name": "TABITHA",
"credential": "WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-04",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MI",
"license": "4704300959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.