Stacey Grant

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11022037 Issued in FL

Practice address

2702 S Orange Ave # 5216
Orlando, FL 32806-5402

Phone

(407) 254-5545

Fax

(407) 254-5545

NPI assigned

Sep 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1033833769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 S ORANGE AVE # 5216",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065402",
            "telephone_number": "407-254-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 S ORANGE AVE # 5216",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065402",
            "telephone_number": "407-254-5545",
            "fax_number": "407-254-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latrisha Catrell Grant, LMT
• Linda Grant, LMHC
• Madeline Grant, PA-C
• Marquis Grant V
• Michelle Grant
• Timothy D Grant, DO
• Tegan M. Graser
• Annamarie D Grasso, ANNA HEALTH CARE
• Erika Grasso
• Emilio Grau Cruz

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.