Active NPI
Tatiana Grant, CRNA
- Registered Nurse
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN689587
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN689587 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koolau Anesthesia Group, LLC | Current | Accepting new patients | |
| Pacific Anesthesia, Inc | Current | Accepting new patients | |
| Pec Anesthesia LLC | Current | 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.
-
- Anesthesiology Physician
- Kaneohe, HI
- NPI 1265184352
-
- Certified Registered Nurse Anesthetist
- Pearl City, HI
- NPI 1528305208
-
- Anesthesiology Physician
- Honolulu, HI
- NPI 1538472451
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kailua, HI
- NPI 1316937691
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.