Gracielle Soares de Souza

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

14 Capital PL
Mineola, NY 11501-3445

Phone

(516) 988-3578

NPI assigned

Dec 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1982364477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CAPITAL PL",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013445",
            "telephone_number": "516-988-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CAPITAL PL",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013445",
            "telephone_number": "516-988-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "GRACIELLE",
        "middle_name": "SOARES DE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Rae Sommers, MD
• Hae Song
• Hope Lee Song, DMD, MS
• Kiran Soni
• Lauren Soong, DO
• Andie Paige Spadaccini
• Alana Grace Spadalik
• Lisa Sparacino, PMHNP-BC
• Ira J Spector, MD
• Georgios Spentzouris, MD

• Case Manager/Care Coordinator in Mineola, NY
• Providers in Mineola, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.