MIRIAM AMY GRADY
NPI 1104636679
Student in an Organized Health Care Education/Training Program in South Bend, IN

Q: What is Miriam Grady's NPI number?

The NPI number for Miriam Grady is 1104636679. It was assigned to this individual provider in the NPPES registry on January 8, 2025.

Q: What is Miriam Grady's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Miriam Grady was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since January 08, 2025

841 SORIN ST APT 2H, SOUTH BEND, IN 46617(402) 216-9739 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Miriam Amy Grady NPPES

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

MIRIAM AMY GRADY (NPI 1104636679) is an individual student in an organized health care education/training program in South Bend, Indiana and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1104636679

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMIRIAM AMY GRADY

Location Address841 SORIN ST APT 2HSouth Bend, IN 46617-2066

Mailing Address841 Sorin St Apt 2hSouth Bend, IN 46617-2066

Phone(402) 216-9739

Sole ProprietorNo

Enumeration DateJanuary 8, 2025

NPPES CertifiedJanuary 8, 2025

✔ NPI 1104636679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

841 SORIN ST APT 2H, South Bend, IN 46617

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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 Miriam Grady's NPI number?

The NPI number for Miriam Grady is 1104636679. It was assigned to this individual provider in the NPPES registry on January 8, 2025.

Where is Miriam Grady located?

Miriam Grady practices at 841 Sorin St Apt 2H, South Bend, IN 46617. The listed phone number is (402) 216-9739.

What is Miriam Grady's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Miriam Grady was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.