Provider Demographics
NPI:1710534557
Name:GILLASPIE, GRACE MARIE (NP)
Entity type:Individual
Prefix:MS
First Name:GRACE
Middle Name:MARIE
Last Name:GILLASPIE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:GRACE
Other - Middle Name:MARIE GILLASPIE
Other - Last Name:GRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:P.O. BOX 804435
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180
Mailing Address - Country:US
Mailing Address - Phone:816-701-5100
Mailing Address - Fax:816-302-9939
Practice Address - Street 1:2401 GILLHAM RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-4619
Practice Address - Country:US
Practice Address - Phone:816-701-5100
Practice Address - Fax:816-302-9939
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-26
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-82134-052363LP0200X
TXAP142082363LP0200X
MO2023012585363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics