GRACE KOUCHERAVY FNP NPI 1528048238

NPI Information

  • NPI: 1528048238
  • Provider Name: GRACE KOUCHERAVY, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 3720 DAVINCI CT
    SUITE 400
    NORCROSS, GA
    ZIP 30092
  • Phone: (770) 582-3992

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NPI Details

Grace Koucheravy, FNP is a family nurse practitioner in Norcross, GA. Grace Koucheravy, FNP NPI is 1528048238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3720 DAVINCI CT
SUITE 400
NORCROSS, GA
ZIP 30092-627
Phone: (770) 582-3992

The enumeration date for this NPI number is 1/19/2006 and was last updated on 11/18/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN105205GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17789661MEDICAIDVIRGINIA
2S65484MEDICARE UPIN

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: 11/21/2025

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