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Grace Pediatrics Pl

Pediatric Nurse Practitioner in Lake City, FL · enumerated 2011 · authorized official Colleen Thompson, Manager/Arnp/Co-Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720362429

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Registry record

Entity type Organization (Type 2)
Legal business name Grace Pediatrics Pl
Practice address 4196 W Us Highway 90, Suite 105, Lake City, FL, 32055
Phone (386) 243-8474
Fax (386) 438-5945
Enumeration date Sep 29, 2011
Last updated in NPPES Feb 19, 2014

Taxonomy & classification

363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 9220069 (FL) Secondary
363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 2667852 (FL) Primary

Authorized official

Name Colleen Thompson
Title Manager/Arnp/Co-Owner
Phone (386) 243-8474

Other identifiers

Identifier Type State Issuer
004797600 Medicaid FL -
68-3810 Other FL MEDICARE RHC CERTIFICATION

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Grace Pediatrics Pl?
NPPES lists Colleen Thompson (Manager/Arnp/Co-Owner) as the authorized official for this organization.
What is the NPI number for Grace Pediatrics Pl?
The NPI for Grace Pediatrics Pl is 1720362429, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-02-19.