Active NPI
Kandis F Grant
- Family Nurse Practitioner
- Plano, TX
National Provider Identifier
1053878272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP140193
- Practice address
- 6505 W Park Blvd Ste 155
Plano, TX 75093-6286 - Phone
- (469) 304-3443
- NPI assigned
- Feb 24, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP140193 | TX | Primary |
Addresses
Primary practice location
6505 W Park Blvd Ste 155
Plano, TX 75093-6286
Mailing address
4944 Preston Rd Ste 100a
Frisco, TX 75034-8987
Other practice location 1
5000 Legacy Dr Ste 310
Plano, TX 75024-3290
Phone (973) 473-6325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laali Management Group | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1053878272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4944 PRESTON RD STE 100A",
"city": "FRISCO",
"state": "TX",
"postal_code": "750348987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6505 W PARK BLVD STE 155",
"city": "PLANO",
"state": "TX",
"postal_code": "750936286",
"telephone_number": "469-304-3443"
}
],
"practiceLocations": [
{
"address_1": "5000 Legacy Dr Ste 310",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750243290",
"country_code": "US",
"telephone_number": "973-473-6325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANT",
"first_name": "KANDIS",
"middle_name": "F",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-24",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP140193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.