GRACE INTEGRATED HEALTH & WELLNESS, LLC
NPI 1184242174
Nurse Practitioner - Family in Tyler, TX

Active since July 07, 2020
1000 SOUTH BECKHAM, TYLER, TX 75701(903) 284-5158 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace Integrated Health & Wellness, Llc NPPES

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

GRACE INTEGRATED HEALTH & WELLNESS, LLC (NPI 1184242174) is a healthcare organization registered as a family in Tyler, Texas and active in the NPI registry since July 2020. The organization lists Jennifer Rettig, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184242174
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGRACE INTEGRATED HEALTH & WELLNESS, LLC
Location Address1000 SOUTH BECKHAMTyler, TX 75701
Mailing AddressPo Box 9995Tyler, TX 75711-2995 · (903) 705-8509
Organization SubpartNo
Authorized OfficialJennifer RettigCeo · (903) 705-8509
Enumeration DateJuly 7, 2020
NPPES CertifiedJuly 7, 2020
NPI 1184242174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedRegistered Nurse · Infusion TherapyTaxonomy 163WI0500X
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X
1000 SOUTH BECKHAM, Tyler, TX 75701

Other Identifiers 1

MedicaidNPI1265977144TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Primary Care)
1000 SOUTH BECKHAM
TYLER, TX 75701

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 Grace Integrated Health & Wellness, LLC's NPI number?

The NPI number for Grace Integrated Health & Wellness, LLC is 1184242174. It was assigned to this organization in the NPPES registry on July 7, 2020.

Where is Grace Integrated Health & Wellness, LLC located?

Grace Integrated Health & Wellness, LLC is located at 1000 South Beckham, Tyler, TX 75701. The listed phone number is (903) 284-5158.

What is Grace Integrated Health & Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Grace Integrated Health & Wellness, LLC was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.