MS. STEPHANIE GRADY PA & NP
NPI 1003876814
Family Medicine in Minneapolis, MN

Active since March 24, 2006
410 CHURCH ST SE, MINNEAPOLIS, MN 55455(612) 625-2612 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018 (2 updates tracked since 2018).

About Ms. Stephanie Grady Pa & Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. STEPHANIE GRADY PA & NP (NPI 1003876814) is an individual family medicine provider in Minneapolis, Minnesota, licensed in Minnesota (9028) and active in the NPI registry since March 2006. She maintains a secondary practice location in Onamia.

NPPES Registry Identity

NPI1003876814
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. STEPHANIE GRADYCredential: PA & NP
Location Address410 CHURCH ST SEMinneapolis, MN 55455-0222
Mailing AddressPo Box 43, Mr 10809Minneapolis, MN 55440-0043 · (612) 262-4813 · Fax (612) 262-4194
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1003876814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 9028
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

410 CHURCH ST SE, Minneapolis, MN 55455

Other Names 1

Former Name (1)Stephanie G Rodrique Pa & Np

Secondary Practice Location 1

Location 143500 Migizi DrOnamia, MN 56359-2241 · Phone (320) 532-4163

Other Identifiers 1

Medicaid326725300MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Obstetrics & Gynecology
410 CHURCH ST SE, BOYNTON HEALTH SERVICE
MINNEAPOLIS, MN 55455
Internal Medicine
410 CHURCH ST SE, BOYNTON HEALTH SERVICE
MINNEAPOLIS, MN 55455
Dentist (Periodontics)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Dentist
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Psychologist
410 CHURCH ST SE, BOYNTON HEALTH SERVICE
MINNEAPOLIS, MN 55455
Social Worker (Clinical)
410 CHURCH ST SE, BOYNTON HEALTH SERVICE
MINNEAPOLIS, MN 55455
Family Medicine
410 CHURCH ST SE, BOYNTON HEALTH SERVICE
MINNEAPOLIS, MN 55455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Grady's NPI number?

The NPI number for Stephanie Grady is 1003876814. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Stephanie Grady located?

Stephanie Grady practices at 410 Church St SE, Minneapolis, MN 55455. The listed phone number is (612) 625-2612.

What is Stephanie Grady's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Grady was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.