Active NPI
Nakish Danielle Grant, M.D.
- General Practice Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME140616
- Practice address
- 3625 University Blvd S
Jacksonville, FL 32216-4207 - Phone
- (904) 702-6111
- NPI assigned
- Jun 25, 2008
- Last updated
- Nov 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2008017890 | MO | |
| General Practice Physician | 208D00000X | ME140616 | FL | Primary |
Addresses
Primary practice location
3625 University Blvd S
Jacksonville, FL 32216-4207
Mailing address
893 Glenneyre Cir
St Augustine, FL 32092-1230
Phone (708) 227-6253
Other practice location 1
1 Hospital Dr
Dc018.00, Ma101
Columbia, MO 65201-5276
Phone (573) 882-8885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (904) 308-7300
15255 Max Leggett Pkwy
Jacksonville, FL 32218-7213
Phone (904) 383-1000
653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-1680
655 W 8TH St
Jacksonville, FL 32209-6511
Phone (940) 244-4218
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.59 of 100
- Quality
- 59.93
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008017890 | MO | MD | Anesthesiology Physician |
| ME140616 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Anesthesiology | Current | Accepting new patients |
| Sunshine State Anesthesia Partners LLC | Anesthesiology | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Anesthesiology | Current | Accepting new patients |
| University of Florida Jacksonville Physicians Inc | Anesthesiology | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients |
Locations
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
Interoperability endpoints
- ngrant708762@direct.shands.ufl.edu
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
Anesthesiology
-
dba JLR Anesthesia Assoc
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1699935965
-
dba UF Health Imaging Center-Baymeadows
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
dba Shands Jacksonville
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1023270659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "893 GLENNEYRE CIR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320921230",
"telephone_number": "708-227-6253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164207",
"telephone_number": "904-702-6111"
}
],
"practiceLocations": [
{
"address_1": "1 Hospital Dr",
"address_2": "DC018.00, MA101",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652015276",
"country_code": "US",
"telephone_number": "573-882-8885",
"fax_number": "573-884-4808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANT",
"first_name": "NAKISH",
"middle_name": "DANIELLE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-25",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "2008017890",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME140616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.