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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 04, 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 5 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.