Ta Grant Wellness

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TA GRANT WELLNESS

Practice address

3015 S Bell PL
Chandler, AZ 85286-2496

Phone

(520) 233-4585

NPI assigned

Nov 21, 2020

Last updated

Nov 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Titilayo Grant, NPNPI 1134698566

Title

Nurse Practitioner/Manager

Phone

(520) 233-4585

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TA GRANT WELLNESS Other name

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Titilayo Grant, FNP

  • Family Nurse Practitioner
  • Gilbert, AZ
  • NPI 1134698566
  NPD (past) Authorized official

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605916800000",
    "number": "1023611944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 S BELL PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862496",
            "telephone_number": "520-233-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 S BELL PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862496",
            "telephone_number": "520-233-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TA GRANT WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-21",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "TITILAYO",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/MANAGER",
        "authorized_official_telephone_number": "520-233-4585",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134698566",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "TAGRANTWELLNESS@GMAIL.COM",
            "affiliation": "N",
            "address_1": "3015 S Bell Pl",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852862496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TA GRANT WELLNESS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Nurse Practitioner in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.