1. Home
  2. Directory
  3. Louisiana
  4. Baton Rouge
  5. Nurse Practitioner
  6. NPI Profile

GRACE KIDNEY CARE
NPI 1417574690
Nurse Practitioner - Family in Baton Rouge, LA

Active since July 02, 2020
4316 DAWSON DR, BATON ROUGE, LA 70805(225) 802-0079 Get Directions Write a Review

NPPES record last updated: July 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grace Kidney Care NPPES

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

GRACE KIDNEY CARE (NPI 1417574690) is a healthcare organization registered as a family in Baton Rouge, Louisiana and active in the NPI registry since July 2020. The organization lists Alise H Hall, Np, as its authorized official.

NPPES Registry Identity

NPI1417574690
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGRACE KIDNEY CARE
Location Address4316 DAWSON DRBaton Rouge, LA 70805-1429
Mailing AddressPo Box 74075Baton Rouge, LA 70874-4075 · (225) 802-0079
Phone(225) 802-0079
Organization SubpartNo
Authorized OfficialAlise H HallNp · (225) 802-0079
Enumeration DateJuly 2, 2020
Last NPPES UpdateJuly 3, 2020
NPPES CertifiedJuly 3, 2020
✔ NPI 1417574690 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
4316 DAWSON DR, Baton Rouge, LA 70805
Open in Google Maps ↗

Other Identifiers 1

Medicaid2347080LA

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 Kidney Care's NPI number?

The NPI number for Grace Kidney Care is 1417574690. It was assigned to this organization in the NPPES registry on July 2, 2020.

Where is Grace Kidney Care located?

Grace Kidney Care is located at 4316 Dawson Dr, Baton Rouge, LA 70805. The listed phone number is (225) 802-0079.

What is Grace Kidney Care'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 Kidney Care was last updated on July 3, 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.