REHYDRATION STATION AND AESTHETICS
NPI 1255086898
Nurse Practitioner - Family in Springdale, AR

Q: What is Grace Family Medical, LLC's NPI number?

The NPI number for Grace Family Medical, LLC is 1255086898. It was assigned to this organization in the NPPES registry on February 12, 2022. The provider is doing business as Rehydration Station And Aesthetics.

Q: What is Grace Family Medical, LLC's specialty?

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

Active since February 12, 2022

5100 S THOMPSON ST STE 214, SPRINGDALE, AR 72764(479) 329-1194(479) 223-5365 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2023, Feb 12, 2022 (2 updates tracked since 2022).

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About Rehydration Station And Aesthetics NPPES

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

REHYDRATION STATION AND AESTHETICS (NPI 1255086898) is a healthcare organization registered as a family in Springdale, Arkansas and active in the NPI registry since February 2022. The organization lists Kellie Ann Chacanaca, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1255086898

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameGRACE FAMILY MEDICAL, LLC

Location Address5100 S THOMPSON ST STE 214Springdale, AR 72764-6941

Mailing Address5100 S Thompson St Ste 214Springdale, AR 72764-6941 · (479) 329-1194

Phone(479) 329-1194

Fax(479) 223-5365

Organization SubpartNo

Authorized OfficialKellie Ann ChacanacaOwner/member · (479) 329-1194

Enumeration DateFebruary 12, 2022

Last NPPES UpdateFebruary 20, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2024

✔ NPI 1255086898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

5100 S THOMPSON ST STE 214, Springdale, AR 72764

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Other Names 1

Doing Business AsRehydration Station And Aesthetics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Family Medical, LLC's NPI number?

The NPI number for Grace Family Medical, LLC is 1255086898. It was assigned to this organization in the NPPES registry on February 12, 2022. The provider is doing business as Rehydration Station And Aesthetics.

Where is Grace Family Medical, LLC located?

Grace Family Medical, LLC is located at 5100 S Thompson St Ste 214, Springdale, AR 72764. The listed phone number is (479) 329-1194.

What is Grace Family Medical, 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 Family Medical, LLC was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.