Jarred Darren Grant

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

Practice address

10710 Mukilteo Speedway
Mukilteo, WA 98275-5021

Phone

(425) 349-8888

NPI assigned

Jan 13, 2018

Sex

Male

Sole proprietor

No

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": "1515801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515801600000",
    "number": "1013425990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982138810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MUKILTEO SPEEDWAY",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755021",
            "telephone_number": "425-349-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JARRED",
        "middle_name": "DARREN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-13",
        "last_updated": "2018-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GL 329 LLC
• Samantha Goldsmith
• Tatiana Gonzalez Meza, BDS
• Mario Carlos Gonzalez
• Scarlet Gonzalez
• Adel Youakim Guirguis, PHARMACIST
• Thomas K. Hafford, MD
• Christina Hagerty, RN
• Peggy Ann Hansen, MN, ARNP
• Jason Hao, M.D.

• Licensed Psychiatric Technician in Mukilteo, WA
• Providers in Mukilteo, WA by specialty
• Licensed Psychiatric Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.