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AMAZING GRACE HEALTH, LLC
NPI 1568002160
Nurse Practitioner - Family in Saint Paul, MN

Active since January 10, 2020
625 SNELLING AVE N STE A, SAINT PAUL, MN 55104(952) 288-9921 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2022, Feb 4, 2022, Dec 9, 2020 and 1 more (4 updates tracked since 2020).

About Amazing Grace Health, Llc NPPES

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

AMAZING GRACE HEALTH, LLC (NPI 1568002160) is a healthcare organization registered as a family in Saint Paul, Minnesota and active in the NPI registry since January 2020. The organization lists Victor Davis, Co-owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1568002160
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameAMAZING GRACE HEALTH, LLC
Location Address625 SNELLING AVE N STE ASaint Paul, MN 55104-5585
Mailing Address625 Snelling Ave N Ste ASaint Paul, MN 55104-5585 · (763) 381-4188
Phone(952) 288-9921
Organization SubpartNo
Authorized OfficialVictor DavisCo-owner/nurse Practitioner · (952) 288-9921
Enumeration DateJanuary 10, 2020
Last NPPES UpdateFebruary 11, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2022
✔ NPI 1568002160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
625 SNELLING AVE N STE A, Saint Paul, MN 55104
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Group Practice 2

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

Other Providers at the Same Location NPPES 2

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

VICTOR DAVIS PATRICK
Nurse Practitioner (Family)
625 SNELLING AVE N STE A
SAINT PAUL, MN 55104
Ramsey County (651) 363-3111
LAMIN JAITEH
Nurse Practitioner (Family)
625 SNELLING AVE N STE A
SAINT PAUL, MN 55104
Ramsey County (513) 633-1111

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 Amazing Grace Health, LLC's NPI number?

The NPI number for Amazing Grace Health, LLC is 1568002160. It was assigned to this organization in the NPPES registry on January 10, 2020.

Where is Amazing Grace Health, LLC located?

Amazing Grace Health, LLC is located at 625 Snelling Ave N Ste A, Saint Paul, MN 55104. The listed phone number is (952) 288-9921.

What is Amazing Grace Health, 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 Amazing Grace Health, LLC was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.