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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ANTONIO GRAGG-HERNANDEZ
NPI 1992619241
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since October 01, 2026
5040 E SHEA BLVD, #164, PHOENIX, AZ 85028(480) 690-9532 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Antonio Gragg-hernandez NPPES

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

ANTONIO GRAGG-HERNANDEZ (NPI 1992619241) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1992619241
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANTONIO GRAGG-HERNANDEZ
Location Address5040 E SHEA BLVD, #164Phoenix, AZ 85028
Mailing Address5040 E Shea Blvd, #164Phoenix, AZ 85028 · (480) 690-9532
Phone(480) 690-9532
Sole ProprietorNo
Enumeration DateOctober 1, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1992619241 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.
5040 E SHEA BLVD, Phoenix, AZ 85028
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Other Providers at the Same Location NPPES 5

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

MR. DYLAN JOHN MCCLISH-SMITH
Student in an Organized Health Care Education/Training Program
5040 E SHEA BLVD, SUITE #164
PHOENIX, AZ 85028
Maricopa County (480) 641-1165
WHISPER GAILEY
Counselor (Mental Health)
5040 E SHEA BLVD, #164
PHOENIX, AZ 85028
Maricopa County (480) 641-1165
TIFFANI ROBINSON
Counselor (Mental Health)
5040 E SHEA BLVD, 164
PHOENIX, AZ 85028
Maricopa County (480) 690-9532
KENT ALLAN BAUMHOVER
Counselor
5040 E SHEA BLVD, SUITE 164
PHOENIX, AZ 85028
Maricopa County (480) 641-1165
MS. SHANNON KEATING BHT
Counselor (Professional)
5040 E SHEA BLVD, SUITE #164
PHOENIX, AZ 85028
Maricopa County (480) 641-1165

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 Antonio Gragg-hernandez's NPI number?

The NPI number for Antonio Gragg-hernandez is 1992619241. It was assigned to this individual provider in the NPPES registry on October 1, 2026.

Where is Antonio Gragg-hernandez located?

Antonio Gragg-hernandez practices at 5040 E Shea Blvd #164, Phoenix, AZ 85028. The listed phone number is (480) 690-9532.

What is Antonio Gragg-hernandez'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 Antonio Gragg-hernandez was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.