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GRACE HOME PRIMARY CARE NPI 1609281260


NPI Information

NPI: 1609281260
Provider Name: GRACE HOME PRIMARY CARE
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 44D2136606

Address:
3500 DAYTON BLVD
CHATTANOOGA, TN
ZIP 37415
Phone: (423) 362-8400
Get Directions

GRACE HOME PRIMARY CARE is a nurse practitioner in Chattanooga, TN. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. GRACE HOME PRIMARY CARE NPI is 1609281260. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3500 DAYTON BLVD
CHATTANOOGA, TN
ZIP 37415-629
Phone: (423) 362-8400
Fax: (423) 362-8399

The provider's authorized official is Sherry Glover .
The authorized official title is Owner/provider and has the following contact phone number (423) 362-8400.

The CLIA number assigned to this NPI record is 44D2136606 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2014 and was last updated on 2/8/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse Practitioner5937TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.