Individual provider Active NPI

Jennifer Rose Grande, FNP-BC

  • Family Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1124536537
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2299613 Issued in MA
Practice address
282 Washington St
Hartford, CT 06106-3322
Phone
(860) 545-9000
NPI assigned
Jan 19, 2018
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2299613 MA Primary
Family Nurse Practitioner 363LF0000X 8539 CT

Addresses

Primary practice location

282 Washington St
Hartford, CT 06106-3322

Mailing address

88 Springfield St
Wilbraham, MA 01095-2225
Phone (413) 519-6640

Other practice location 1

819 Worcester St
Springfield, MA 01151-1045
Phone (413) 304-2501

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgrande53599@connecticutchildrens.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180321002492 MA Practitioner - Nurse Practitioner 8022370543 Reassigns benefits to 3 organizations
I20200305002553 CT Practitioner - Nurse Practitioner 8022370543 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2299613MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Children's Specialty Group, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Curana Health of Massachusetts LLC Family CurrentSince Sep 30, 2019 Accepting new patients
CH Specialty Services Ma PC CurrentSince Jan 10, 2024 Accepting new patients
Connecticut Children's Specialty Group, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Connecticut Children's Medical Center Past Accepting new patients

Locations

105 Newtown Rd
#A
Danbury, CT 06810
Phone (860) 545-9395

105 Newtown Rd
Danbury, CT 06810
Phone (203) 744-4343

505 Farmington Ave
#1
Farmington, CT 06032

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560

282 Washington St
Ste 5
Hartford, CT 06106

2 Ivy Brook Rd
Ste 213
Shelton, CT 06484
Phone (203) 538-5400

191 Post Rd W
#1
Westport, CT 06880

84 Willimansett St
South Hadley, MA 01075
Phone (413) 533-8501

84 Willimansett St
Ste C
South Hadley, MA 01075
Phone (860) 545-9395

819 Worcester St
Springfield, MA 01151
Phone (413) 304-2501

819 Worcester St
Ste 1
Springfield, MA 01151
Phone (337) 408-0805

300 Stafford St
Ste 200
Springfield, MA 01104
Phone (413) 276-6700

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jgrande53599@connecticutchildrens.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1124536537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 SPRINGFIELD ST",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010952225",
            "telephone_number": "413-519-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 WASHINGTON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063322",
            "telephone_number": "860-545-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 Worcester St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011511045",
            "country_code": "US",
            "telephone_number": "413-304-2501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2299613",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgrande53599@connecticutchildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "282 Washington St",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061063322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.