Active NPI
Justina Grant
- Psychiatric/Mental Health Nurse Practitioner
- Pittsburgh, PA
National Provider Identifier
1144002395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP028457
- Practice address
- 5301 Grove Rd Ste M123
Pittsburgh, PA 15236-5602 - Phone
- (412) 677-9100
- NPI assigned
- Oct 20, 2023
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP028457 | PA | Primary |
Addresses
Primary practice location
5301 Grove Rd Ste M123
Pittsburgh, PA 15236-5602
Mailing address
2383 William Penn Ave
Johnstown, PA 15909-1258
Phone (814) 771-6918
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP028457 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2 Crows LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
400 W Lancaster Ave
Ste 300
Devon, PA 19333
Phone (610) 510-4881
323 Budfield St
#J
Johnstown, PA 15904
150 S Warner Rd
Ste 130
Kng of Prussa, PA 19406
Phone (610) 400-4885
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": "1697760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1144002395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2383 WILLIAM PENN AVE",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159091258",
"telephone_number": "814-771-6918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 GROVE RD STE M123",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152365602",
"telephone_number": "412-677-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "JUSTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-20",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP028457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.