Individual provider Active NPI

Tatiana Grant, CRNA

  • Registered Nurse
  • Erie, PA
National Provider Identifier
1013570324
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN689587 Issued in PA
Practice address
201 State St
Erie, PA 16550-0002
Phone
(814) 877-6000
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN689587 PA Primary

Addresses

Primary practice location

201 State St
Erie, PA 16550-0002

Mailing address

1127 Mokapu Blvd
Kailua, HI 96734-1845
Phone (808) 381-1120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191022000874 HI Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375877061 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pec Anesthesia LLCGroup PAC ID 3870748023, 19 clinicians
Koolau Anesthesia Group LLCGroup PAC ID 3274929724, 20 clinicians

Practice addresses (Care Compare)

1029 Makolu St
Suite H
Pearl City, HI 96782-2890
Phone (808) 456-6420

640 Ulukahiki St
Kailua, HI 96734-4454
Phone (808) 263-5500

Hospital & facility affiliations

  • Adventist Health Castle Hospital, Kailua, HI, CCN 120006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN689587PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Koolau Anesthesia Group, LLC CurrentSince Mar 15, 2022 Accepting new patients
Pacific Anesthesia, Inc CurrentSince Sep 16, 2019 Accepting new patients
Pec Anesthesia LLC CurrentSince Mar 16, 2025 Accepting new patients

Locations

1401 S Beretania St
Ste 200
Honolulu, HI 96814
Phone (808) 312-6700

321 N Kuakini St
Ste 306
Honolulu, HI 96817
Phone (808) 545-1557

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

642 Ulukahiki St
Ste 200
Kailua, HI 96734
Phone (808) 218-6850

1029 Makolu St
Ste H
Pearl City, HI 96782
Phone (808) 456-6420

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1013570324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 MOKAPU BLVD",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341845",
            "telephone_number": "808-381-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165500002",
            "telephone_number": "814-877-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "TATIANA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN689587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.