HARRY GRACE (NPI# 1598997660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598997660 |
| Entity Type | Individual |
| Full Name | HARRY GRACE |
| Credential | LPN |
| Practice Address |
1007 Mary St Waycross GA 31503-3823 |
| Practice Telephone | 9124498601 |
| Mailing Telephone | 9124498601 |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2009-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN055151 | GA | Nursing Service Providers |
| Street Address |
1007 MARY ST |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31503-3823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972649374 | Janett Carter | Social Worker | 1007 Mary St, Waycross, GA 31503-3823 | 2007-01-30 |
| 1417412917 | Jessica Kate Clark | Nurse Practitioner | 1007 Mary St, Waycross, GA 31503-3823 | 2019-02-08 |
| 1093299356 | Natasha Williams Herrin | Social Worker | 1007 Mary St, Waycross, GA 31503-3823 | 2018-09-21 |
| 1063996619 | Jonathon Michael Pryor | Counselor | 1007 Mary St, Waycross, GA 31503-3823 | 2018-09-19 |
| 1780188805 | Alisha Lester | Counselor | 1007 Mary St, Waycross, GA 31503-3823 | 2018-03-22 |
| 1487158507 | Sonda Sperzel | Counselor | 1007 Mary St, Waycross, GA 31503-3823 | 2018-03-22 |
| 1508375932 | Karen Manac | Social Worker | 1007 Mary St, Waycross, GA 31503-3823 | 2017-09-28 |
| 1487185492 | Donnel Cross Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1007 Mary St, Waycross, GA 31503-3823 | 2017-03-22 |
| 1780126185 | Willie Colquitt Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1007 Mary St, Waycross, GA 31503-3823 | 2016-11-16 |
| 1669922332 | Altomese Neloms Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1007 Mary St, Waycross, GA 31503-3823 | 2016-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770855868 | Bertha Richardsaon | Community/Behavioral Health | 1614 Carswell Ave, Waycross, GA 31503 | 2012-02-03 |
| 1134365893 | Carla Pye Winn | Nurse Practitioner | 1003 Mary St, Waycross, GA 31503 | 2008-12-31 |
| 1801051297 | Unison Behavioral Health | Substance Abuse Rehabilitation Facility | 3455 Harris Road, Waycross, GA 31503 | 2008-07-24 |
| 1073650115 | Unison Behavioral Health | Community/Behavioral Health | 1003 Mary Street, Waycross, GA 31503 | 2007-01-30 |
| 1588701635 | Unison Behavioral Health | Community/Behavioral Health | 2033 Bell Street, Waycross, GA 31503 | 2007-01-30 |
| 1801933957 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 3201 Harris Road, Waycross, GA 31503 | 2007-01-30 |
| 1902943046 | Unison Behavioral Health | Community/Behavioral Health | 310 Williams Street, Waycross, GA 31503 | 2007-01-30 |
| 1285770578 | Unison Behavioral Health | Community/Behavioral Health | 305 N Nicholls Street, Waycross, GA 31503 | 2007-01-30 |
| 1538223672 | Diversified Resources, Inc. | Case Manager/Care Coordinator | 147 Knight Ave Cir, Waycross, GA 31503 | 2006-12-21 |
| 1669578167 | James Gregory Morris | Dentist | 2458 Memorial Drive, Waycross, GA 31503 | 2006-09-15 |
| Find all providers in zip 31503 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902158306 | Tiara Wilson | Licensed Practical Nurse | 1007 Mary St, Waycross, GA 31503-3823 | 2012-10-09 |
| 1437473105 | Dasha Renee Johns | Licensed Practical Nurse | 1007 Mary St, Waycross, GA 31503-3823 | 2010-03-24 |
| 1124251772 | Robin Kay Denison | Licensed Practical Nurse | 1007 Mary St, Waycross, GA 31503-3823 | 2009-08-31 |
| 1437381555 | Charissa Marshall | Licensed Practical Nurse | 1007 Mary St, Waycross, GA 31503-3823 | 2009-08-24 |
| 1144452269 | Marsha Kriete | Licensed Practical Nurse | 1007 Mary St, Waycross, GA 31503-3823 | 2009-08-24 |
| 1487886552 | Betsy Monalisa Shider | Licensed Practical Nurse | 1007 Mary St, Waycross, GA 31503-3823 | 2009-08-21 |
| 1851523922 | Alice Faye Robinson | Licensed Practical Nurse | 1007 Mary St, Waycross, GA 31503-3823 | 2009-08-21 |
| 1609008770 | Donnetta Wilkinson | Licensed Practical Nurse | 1007 Mary St, Waycross, GA 31503-3823 | 2009-08-21 |
| 1063644128 | Jacqueline Dunnom | Licensed Practical Nurse | 1007 Mary St, Waycross, GA 31503-3823 | 2009-08-21 |
| 1326270489 | Thomastine Lavet Gadson | Licensed Practical Nurse | 1007 Mary St, Waycross, GA 31503-3823 | 2009-08-21 |
| Find all providers in WAYCROSS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.