Active NPI
Nancy Perkins Grossman, DO
- Psychiatry Physician
- Hernando, FL
National Provider Identifier
1154472330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MB04084200
- Practice address
- 1390 W Double Eagle CT
Hernando, FL 34442-6240 - Phone
- (352) 746-1776
- NPI assigned
- Jan 15, 2007
- Last updated
- Jan 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MB04084200 | NJ | Primary |
Addresses
Primary practice location
1390 W Double Eagle CT
Hernando, FL 34442-6240
Mailing address
1390 W Double Eagle CT
Hernando, FL 34442-6240
Phone (352) 746-1776
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB04084200 | NJ | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1154472330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 W DOUBLE EAGLE CT",
"city": "HERNANDO",
"state": "FL",
"postal_code": "344426240",
"telephone_number": "352-746-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 W DOUBLE EAGLE CT",
"city": "HERNANDO",
"state": "FL",
"postal_code": "344426240",
"telephone_number": "352-746-1776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "NANCY",
"middle_name": "PERKINS",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MB04084200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hernando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.