Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tabatha Grace

Individual provider Family Nurse Practitioner · NPI 1104402338

Tabatha Grace is a Nurse Practitioner in Show Low, Arizona. Qualified in 2020, 6 years ago. Practices with Changepoint Integrated Health, a 12-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2021
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Practice location Address checks out

1500 S White Mountain Rd Bldg 3
Show Low, AZ 85901-7111
Phone: (928) 532-5838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 254322 (AZ)

Record details

NPI number1104402338
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 18, 2021
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023
Mailing address1300 S Main St, Snowflake, AZ 85937-5661

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Changepoint Integrated Health — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Show Low