Individual provider Active NPI

Justina Grant

  • Psychiatric/Mental Health Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1144002395
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP028457 Issued in PA
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

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917004179 PA Practitioner - Nurse Practitioner 6800337874 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP028457PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
2 Crows LLC Psychiatric/Mental Health CurrentSince Aug 8, 2024 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

Verify at the official NPI Registry.