Active NPI
Scarlett Vanessa Grandy, CNM, WHNP
- Advanced Practice Midwife
- Springdale, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 235818
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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.
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
| License | State | Type | Specialty |
|---|---|---|---|
| 235818 | CA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis House Nwa, Inc | Current | Accepting new patients | |
| St Francis House Nwa, Inc | Current | Accepting new patients | |
| St Francis House Nwa, Inc | Current | Accepting new patients | |
| St Francis House Nwa, Inc | Current | Accepting new patients | |
| Pediatric and Family Medical Center | Past | Accepting new patients | |
| St. Francis House Nwa, Inc. | Past | Accepting new patients | |
| Pediatric and Family Medical Center | Past | 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
- 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.
-
dba Community Clinic West Fork
- Federally Qualified Health Center (FQHC)
- West Fork, AR
- NPI 1336986785
-
dba Community Clinic Central Junior High
- Federally Qualified Health Center (FQHC)
- Springdale, AR
- NPI 1821838996
-
dba Gentry Medical Center
- Federally Qualified Health Center (FQHC)
- Gentry, AR
- NPI 1033971114
-
dba Parson Hills School Based Health Center
- Federally Qualified Health Center (FQHC)
- Springdale, AR
- NPI 1649814138
-
dba Community Clinic Rogers Medical
- Federally Qualified Health Center (FQHC)
- Rogers, AR
- NPI 1710160098
-
dba Eisner Pediatric and Family Medical Center
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1720468804
-
dba Eisner Pediatric and Family Medical Center
- Federally Qualified Health Center (FQHC)
- Sherman Oaks, CA
- NPI 1982075107
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.