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GRACE ALEXANDRA TEDDER
NPI 1407460777
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since September 03, 2020
601 S MARTIN LUTHER KING JR DR, WINSTON SALEM, NC 27110(336) 750-2000 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grace Alexandra Tedder NPPES

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

GRACE ALEXANDRA TEDDER (NPI 1407460777) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1407460777
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGRACE ALEXANDRA TEDDER
Location Address601 S MARTIN LUTHER KING JR DRWinston Salem, NC 27110-0003
Mailing Address133 River Hill DrAdvance, NC 27006-9599 · (336) 529-9602
Phone(336) 750-2000
Sole ProprietorNo
Enumeration DateSeptember 3, 2020
NPPES CertifiedSeptember 3, 2020
✔ NPI 1407460777 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.
601 S MARTIN LUTHER KING JR DR, Winston Salem, NC 27110
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Other Providers at the Same Location NPPES 20

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

WINSTON SALEM STATE UNIVERSITY
Pharmacy (Community/Retail Pharmacy)
601 S MARTIN LUTHER KING JR DR, SUITE 244
WINSTON SALEM, NC 27110
Forsyth County (336) 750-3376
BRITTANY DIXON
Occupational Therapist
601 S MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27110
Forsyth County (336) 750-2000
SAVANNAH K DORMAN
Occupational Therapist
601 S MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27110
Forsyth County (336) 750-2000
CATHERINE CONRAD FNP-C
Nurse Practitioner
601 S MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27110
Forsyth County (336) 750-2000
LAILA ABDULAZIZ MOHAMUD
Behavior Technician
601 S MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27110
Forsyth County (336) 750-2000
YOLANDA JEAN RAINEY P.T., DPT
Physical Therapist
601 S MARTIN LUTHER KING JR DR, RM. 340 F.L. ATKINS BLDG.
WINSTON SALEM, NC 27110
Forsyth County (336) 750-2198
JONATHAN BROWN
Occupational Therapist
601 S MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27110
Forsyth County (336) 750-2000
MISS KATERYNA IVANETS
Occupational Therapist
601 S MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27110
Forsyth County (336) 750-2000

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 Tedder's NPI number?

The NPI number for Grace Tedder is 1407460777. It was assigned to this individual provider in the NPPES registry on September 3, 2020.

Where is Grace Tedder located?

Grace Tedder practices at 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110. The listed phone number is (336) 750-2000.

What is Grace Tedder'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 Grace Tedder was last updated on September 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.