Active NPI
Tomas Karlton Grant Sr., RN
- Acute Care Nurse Practitioner
- Temple, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1066667
- Practice address
- 2401 S 31St St
Temple, TX 76508-3522 - Phone
- (254) 724-2111
- NPI assigned
- Jul 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN11021135 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN11021135 | FL | |
| Acute Care Nurse Practitioner | 363LA2100X | 1066667 | TX | Primary |
| Registered Nurse | 163W00000X | 232793 | TN | |
| Acute Care Nurse Practitioner | 363LA2100X | 250379 | WI |
Addresses
Primary practice location
2401 S 31St St
Temple, TX 76508-3522
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Other practice location 1
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-8700
Other practice location 2
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-7283
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116405000 | Medicaid | FL | |
| 1023660974 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100
2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459
2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663
810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232793 | TN | MD | Registered Nurse |
| 250379 | WI | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Scott & White Clinic | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Scott & White Clinic | Current | Accepting new patients |
Locations
900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- tgrant1265999@ahs.direct-ci.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1649820796
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Temple, TX
- NPI 1477516466
-
- General Acute Care Hospital
- Temple, TX
- NPI 1578502613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1023660974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S 31ST ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765083522",
"telephone_number": "254-724-2111"
}
],
"practiceLocations": [
{
"address_1": "9200 W Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532263522",
"country_code": "US",
"telephone_number": "414-805-8700",
"fax_number": "414-259-1522",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 E Rollins St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328031248",
"country_code": "US",
"telephone_number": "407-303-7283",
"fax_number": "407-303-0347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANT",
"first_name": "TOMAS",
"middle_name": "KARLTON",
"name_suffix": "Sr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-11",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "APRN11021135",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN11021135",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1066667",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "232793",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "WI",
"license": "250379",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116405000",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023660974",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.