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GRACEFUL SECRETS MEDSPA
NPI 1073279303
Clinic/Center - Health Service in Saint Ansgar, IA

Active since November 10, 2021CLIA 16D2272773 · Waiver
204 E 4TH ST, SAINT ANSGAR, IA 50472(507) 254-8329(319) 409-8274 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Graceful Secrets Medspa NPPES

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

GRACEFUL SECRETS MEDSPA (NPI 1073279303) is a healthcare organization registered as a health service in Saint Ansgar, Iowa and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through November 28, 2026, maintains a secondary practice location in Saint Ansgar, and lists Jennifer Dianne Neumann, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1073279303
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameGRACEFUL SECRETS MEDSPA
Location Address204 E 4TH STSaint Ansgar, IA 50472-9606
Mailing Address4673 Cameo AveSaint Ansgar, IA 50472-8544 · (507) 254-8329 · Fax (319) 409-8274
Phone(507) 254-8329
Fax(319) 409-8274
Organization SubpartYesParent: Neumann Llc
Authorized OfficialJennifer Dianne NeumannOwner/provider · (507) 254-8329
Enumeration DateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
✔ NPI 1073279303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
204 E 4TH ST, Saint Ansgar, IA 50472
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Secondary Practice Location 1

Location 14673 Cameo AveSaint Ansgar, IA 50472-8544 · Phone (507) 254-8329 · Fax (319) 409-8274

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2272773

Graceful Secrets Medspa, LLC · Saint Ansgar, IA
Active · expires Nov 28, 2026
CLIA Number16D2272773
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorJennifer D. Neumann
Laboratory Phone(507) 254-8329
Laboratory LocationGraceful Secrets Medspa, LLC204 E 4th St, Saint Ansgar, IA 50472
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. JENNIFER D NEUMANN DNP
Nurse Practitioner (Family)
204 E 4TH ST
SAINT ANSGAR, IA 50472
Mitchell County (507) 254-8329

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 Graceful Secrets Medspa's NPI number?

The NPI number for Graceful Secrets Medspa is 1073279303. It was assigned to this organization in the NPPES registry on November 10, 2021.

Where is Graceful Secrets Medspa located?

Graceful Secrets Medspa is located at 204 E 4th St, Saint Ansgar, IA 50472. The listed phone number is (507) 254-8329.

What is Graceful Secrets Medspa's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Graceful Secrets Medspa hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2272773) is associated with this NPI, valid through November 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Graceful Secrets Medspa was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.