Individual provider Active NPI

Scarlett Vanessa Grandy, CNM, WHNP

  • Advanced Practice Midwife
  • Springdale, AR
National Provider Identifier
1013459981
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
235818 Issued in CA
Practice address
614 E Emma Ave Ste 300
Springdale, AR 72764-4469
Phone
(479) 751-7417
NPI assigned
Nov 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 95005220 CA
Advanced Practice Midwife 367A00000X 235818 CA Primary

Addresses

Primary practice location

614 E Emma Ave Ste 300
Springdale, AR 72764-4469

Mailing address

614 E Emma Ave Ste 300
Springdale, AR 72764-4469
Phone (479) 751-7417

Other names 1

  • Vanessa Foral Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210322000869 AR Practitioner - Certified Nurse Midwife (CNM) 9133552805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Francis House Nwa, Inc.Group PAC ID 0042262495, shared by 27 NPIs, 67 clinicians

Practice addresses (Care Compare)

1101 N Progress Ave
Siloam Springs, AR 72761-4343
Phone (479) 549-4228

500 S Mount Olive St
200 Community Clinic Siloam Springs Med
Siloam Springs, AR 72761-3602
Phone (479) 524-9550

614 E Emma Ave
Springdale, AR 72764-4469
Phone (479) 751-7417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
235818CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis House Nwa, Inc Current Accepting new patients
St Francis House Nwa, Inc CurrentSince Jun 10, 2024 Accepting new patients
St Francis House Nwa, Inc CurrentSince Apr 1, 2025 Accepting new patients
St Francis House Nwa, Inc CurrentSince Jun 10, 2024 Accepting new patients
Pediatric and Family Medical Center PastSince Aug 1, 2019 Accepting new patients
St. Francis House Nwa, Inc. Past Accepting new patients
Pediatric and Family Medical Center PastSince Aug 1, 2019 Accepting new patients

Locations

1233 W Poplar St
Rogers, AR 72756
Phone (479) 636-9235

1101 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 437-9355

451 S Holly St
Siloam Springs, AR 72761
Phone (479) 524-3141

610 E Emma Ave
Ste C
Springdale, AR 72764

614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGIFAA/Endpoint/DGIFAA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1013459981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E EMMA AVE STE 300",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644469",
            "telephone_number": "479-751-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E EMMA AVE STE 300",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644469",
            "telephone_number": "479-751-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDY",
        "first_name": "SCARLETT",
        "middle_name": "VANESSA",
        "credential": "CNM, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95005220",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "235818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "FORAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.