MS. MARY ELIZABETH GRANT (NPI# 1114139581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114139581 |
| Entity Type | Individual |
| Full Name | MS. MARY ELIZABETH GRANT |
| Credential | A.R.N.P. |
| Practice Address |
1120 63rd St S Gulfport FL 33707-3125 |
| Practice Telephone | 7273472914 |
| Practice Fax Number | 7278957225 |
| Mailing Telephone | 7273472914 |
| Mailing Fax Number | 7278957225 |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2018-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
ARNP 1572502 | FL | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
019367 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP 1572502 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 300887800 | 05 | |
| FL | 764196600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700339173 | Mary Grant | Dentist | 5160 S Pulaski Rd, Suite 102, Chicago, IL 60632-4253 | 2016-08-02 |
| 1619295003 | Mary L Grant | Registered Nurse | 912 Karl St, Green Bay, WI 54301-2225 | 2010-05-10 |
| 1629029434 | Mary Christine Grant | Psychologist | 1655 Elmwood Ave, Ste 135, Rochester, NY 14620 | 2006-05-15 |
| 1558321208 | Mary Alyster Grant | Optometrist | 2755 E Desert Inn Rd, #700, Las Vegas, NV 89121-3690 | 2006-03-26 |
| 1811989379 | Mary E Grant | Nurse Practitioner | 6410 Ne Halsey Street, Suite 300, Portland, OR 97213-4742 | 2005-08-19 |
| 1689144420 | Mary Grant | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2018-12-04 |
| 1306382056 | Mary Grant | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2017-01-18 |
| 1265988141 | Mary Catherine Grant | Counselor | 2910 Briarcliffe Rd Ste A, Winston Salem, NC 27106-3177 | 2016-08-30 |
| 1295172518 | Mary Diane Grant | Social Worker | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2013-05-28 |
| 1669707360 | Mary Elizabeth Grant | Counselor | 1380 Rte 286 Hwy E, Indiana, PA 15701-1461 | 2009-10-14 |
| Street Address |
1120 63RD ST S |
| City | GULFPORT |
| State | FL |
| Zip Code | 33707-3125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
| 1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
| 1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
| 1558551580 | Linda K Barchie | Massage Therapist | 7230 Central Avenue, St Petersburg, FL 33707 | 2007-07-26 |
| 1487790770 | Margaret Helen Young | Dentist | 509 Pasadena Avenue South, St Petersburg, FL 33707 | 2007-01-30 |
| 1063567279 | Jack M Hafer | Dentist | 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 | 2007-01-25 |
| 1740331305 | Suncoast O2 Systems Inc. | Durable Medical Equipment & Medical Supplies | 5213 1st Avenue S, St. Petersburg, FL 33707 | 2007-01-12 |
| 1902987902 | Demekisa Sidamo Davis | Acupuncturist | 5301 Gulfport Blvd, Gulfport, FL 33707 | 2006-10-17 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1457443004 | Darla Marie Keyes | Physical Therapist | 2825 Seabreeze Dr, Gulfport, FL 33707 | 2006-09-29 |
| Find all providers in zip 33707 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1386193183 | Joannie Evans | Nurse Practitioner | 368 Courthouse Rd, Suite D, Gulfport, MS 39507-1856 | 2016-09-22 |
| 1306147947 | Richard Brown Ray Jr. | Nurse Practitioner | 3413 Washington Ave, Gulfport, MS 39507-3039 | 2010-11-13 |
| 1639220205 | Maureen Stanton | Nurse Practitioner | 33 39th Street, Gulfport, MS 39507 | 2007-01-12 |
| 1679581052 | Eileen A Powell | Nurse Practitioner | 15120 County Barn Rd, Gulf Coast Mental Health Center Csu Unit, Gulfport, MS 39503-1263 | 2006-08-03 |
| 1437784550 | Chantal Sullivan Aprn-bc Pllc | Nurse Practitioner | 8990 Lorraine Rd, Gulfport, MS 39503-4176 | 2020-03-09 |
| 1740811280 | Chantal Sullivan | Nurse Practitioner | 8990 Lorraine Rd, Gulfport, MS 39503-4176 | 2020-02-03 |
| 1336780527 | Mary Elizabeth Paul | Nurse Practitioner | 11150 Highway 49, Gulfport, MS 39503-4110 | 2019-09-30 |
| 1457829202 | Art Behavioral Health, Pllc | Nurse Practitioner | 1403 43rd Ave, Gulfport, MS 39501-2545 | 2018-11-09 |
| 1992270995 | Julie K Martin, Pmhnp-bc, LLC | Nurse Practitioner | 1403 43rd Ave, Gulfport, MS 39501-2545 | 2018-10-05 |
| Find all providers in GULFPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.