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GRACEFUL WELLNESS AND MED SPA, LLC
NPI 1164248332
Clinic/Center in Overland Park, KS

Active since December 03, 2024
11030 OAKMONT ST STE 100, OVERLAND PARK, KS 66210(913) 608-9450 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Graceful Wellness And Med Spa, Llc NPPES

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

GRACEFUL WELLNESS AND MED SPA, LLC (NPI 1164248332) is a healthcare organization registered as a clinic/center in Overland Park, Kansas and active in the NPI registry since December 2024. The organization lists Jessica Nichols, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164248332
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGRACEFUL WELLNESS AND MED SPA, LLC
Location Address11030 OAKMONT ST STE 100Overland Park, KS 66210-1120
Mailing Address11030 Oakmont St Ste 100Overland Park, KS 66210-1120 · (913) 608-9450
Phone(913) 608-9450
Organization SubpartNo
Authorized OfficialJessica NicholsCeo · (913) 608-9450
Enumeration DateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
✔ NPI 1164248332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
11030 OAKMONT ST STE 100, Overland Park, KS 66210
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Other Providers at the Same Location NPPES 3

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

ASHLEY SHADEL
Marriage & Family Therapist
11030 OAKMONT ST STE 100
OVERLAND PARK, KS 66210
Johnson County (816) 519-8185
JESSICA NICHOLS ARNP
Nurse Practitioner
11030 OAKMONT ST STE 100
OVERLAND PARK, KS 66210
Johnson County (913) 608-9450
EZ NUTRITION 4U, LLC
Dietitian, Registered
11030 OAKMONT ST STE 100
OVERLAND PARK, KS 66210
Johnson County (904) 535-0012

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 Wellness And Med Spa, LLC's NPI number?

The NPI number for Graceful Wellness And Med Spa, LLC is 1164248332. It was assigned to this organization in the NPPES registry on December 3, 2024.

Where is Graceful Wellness And Med Spa, LLC located?

Graceful Wellness And Med Spa, LLC is located at 11030 Oakmont St Ste 100, Overland Park, KS 66210. The listed phone number is (913) 608-9450.

What is Graceful Wellness And Med Spa, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Graceful Wellness And Med Spa, LLC was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.