Lyntressa Danielle Grant, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

ARNP9236028 Issued in FL

Practice address

111 SW 5TH Ave
Portland, OR 97204-3604

Phone

(866) 277-9071

NPI assigned

Mar 5, 2013

Last updated

Mar 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Dr. Lyntressa Danielle Grant Professional name

Medicare fee-for-service enrollment

Enrolled in FL, OR, AZ, SC4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Behavioral Health LLCGroup PAC ID 7315166394, 120 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_lgrant37@landmarkhealth-direct.org

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.

• Baptist Behavioral Health, LLC

  • Professional Counselor
  • Jacksonville, FL
  • NPI 1215906649
  Medicare reassignment Care Compare group
• Lifeworks NW

  • Mental Health Counselor
  • Portland, OR
  • NPI 1467408013

  Single Specialty

  Medicare reassignment NPD
• Brave Health Inc.

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1821588674

  Single Specialty

  Medicare reassignment NPD
• Community Intervention Associates, Inc.

  dba Community Intervention Associates

  • Community/Behavioral Health Agency
  • Bisbee, AZ
  • NPI 1518250620

  Single Specialty

  Medicare reassignment NPD
• Direct Access Counseling & Supportive Services, LLC

  dba Direct Access Counseling and Supportive Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arcadia, FL
  • NPI 1679011449

  Single Specialty

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Single Specialty

  Medicare reassignment NPD
• Hni Medical Services of Florida, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1679048284

  Single Specialty

  Medicare reassignment NPD
• Inpatient Consultants of Florida, Inc

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1396795597

  Single Specialty

  Medicare reassignment NPD
• South Carolina Dept of Mental Health Accounting Office

  dba Waccamaw Center for Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Conway, SC
  • NPI 1356397228

  Single Specialty

  Medicare reassignment NPD
• Wekiva Springs Center LLC

  dba Wekiva Springs Center

  • Psychiatric Hospital
  • Jacksonville, FL
  • NPI 1942471065

  Single Specialty

  Medicare reassignment NPD
• Psychiatric Arnp Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ocala, FL
  • NPI 1124794599
  NPD Authorized official
• Community Intervention Assciates, Inc

  dba Communitiy Health Associates

  • Community/Behavioral Health Agency
  • Parker, AZ
  • NPI 1144961152
  NPD

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1083955793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 SW 93RD COURT RD",
            "address_2": "SUITE 10-BOX 118",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34481",
            "telephone_number": "833-437-5433",
            "fax_number": "833-999-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SW 5TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043604",
            "telephone_number": "866-277-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "LYNTRESSA",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9236028",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201509160NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP5646",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "APN24094",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009044300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DMAP500698768",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030323",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNTRESSA",
            "last_name": "GRANT",
            "middle_name": "DANIELLE",
            "prefix": "DR.",
            "credential": "DNP, PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessica Grant, M.S. CCC-SLP
• Jordan Grant, LPC, ATR
• Jordan Alyssa Grant
• Kylie Morgan Grant
• Lora Grant
• Madeleine Suzanne Bullick Grant, PHARMD
• Mary E Grant, ANP
• Melanie Janelle Grant, DMD
• Michael Grant
• Nancy Grant, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.

Verify at the official NPI Registry.