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
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1500 S White Mountain Rd Bldg 3
Show Low, AZ 85901-7111
Phone: (928) 532-5838
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

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