Active NPIIndividual provider

Lisa Grady, DO

Pediatrics in Providence, Rhode Island

NPI Number1518351832
Practice location
101 Dudley St, Providence, RI 02905-2401
Fax
—
Last updated
November 13, 2019

Lisa Grady is a Pediatrics based in Providence, RI. Lisa Grady practices in Providence, RI and has the professional credentials of DO. The NPI Number for Lisa Grady is 1518351832 and holds a License No. do00945 (RI). The current practice location address for Lisa Grady is 101 Dudley St, Providence, RI 02905-2401 and can be reached out via phone at 401-274-1122.

Provider Profile Details

NPI Number
1518351832
Provider Name
Lisa Grady
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
101 Dudley St, Providence, RI 02905-2401
Phone Number
401-274-1122
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
March 25, 2015
Last Update Date
November 13, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Dudley St
Providence, RI 02905-2401
Zip
02905-2401
Phone Number
401-274-1122
Providence, RI 02905Get directions →

Provider Business Mailing Address Details

Address
101 Dudley St
Providence, RI 02905-2499
City
Providence
State
RI
Zip
02905-2499

License Information

License Number (1)
do00945
License State (1)
RI
Taxonomy (1)
Pediatrics · 208000000X · Primary
License Number (2)
274281
License State (2)
MA
Taxonomy (2)
Pediatrics · 208000000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa Grady, DO?

The NPI number of Lisa Grady, DO is 1518351832. It was assigned on March 25, 2015 and is currently active in the NPPES registry.

What is the specialty of Lisa Grady, DO?

Lisa Grady, DO is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in RI under license number do00945.

Where does Lisa Grady, DO practice?

The practice location is 101 Dudley St, Providence, RI 02905-2401. The office can be reached at 401-274-1122 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518351832 directly on the NPPES registry website.

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