Grant Medlock

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

2498 Lynn Lake Cir S
Saint Petersburg, FL 33712-6117

Phone

(913) 553-9394

NPI assigned

Sep 25, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1003391145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2498 LYNN LAKE CIR S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337126117",
            "telephone_number": "913-553-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2498 LYNN LAKE CIR S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337126117",
            "telephone_number": "913-553-9394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2498 Lynn Lake Cir S",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337126117",
            "country_code": "US",
            "telephone_number": "913-553-9394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDLOCK",
        "first_name": "GRANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Jose Medina-Suarez, LCSW
• Bobbi Medina, BCBA
• Medipath Transit LLC
• Medlin Neuropsychology, LLC
• Lauren Collins Medlin, PSY.D.
• Ivette Medrano, APRN, PMHNP-BC, DNP
• Medsan, Inc.
• Meena Jain MD PA
• Braidy Louise Megeff, MD
• Fnu Mehak, MD

• Home Health Agency in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.