Individual provider Active NPI

Terra J Grandmason, ARNP

  • Family Nurse Practitioner
  • Olympia, WA
National Provider Identifier
1235328501
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30007907 Issued in WA
Practice address
209 Lilly Rd NE # B
Olympia, WA 98506-5030
Phone
(360) 413-8250
Fax
(360) 413-8830
NPI assigned
Oct 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30007907 WA Primary

Addresses

Primary practice location

209 Lilly Rd NE # B
Olympia, WA 98506-5030

Mailing address

209 Lilly Rd NE # B
Olympia, WA 98506-5030
Phone (360) 413-8250

Other practice location 1

222 Kenyon St NW Ste 1
Olympia, WA 98502-4578
Phone (253) 234-7027

Other identifiers 1

IdentifierTypeStateIssuer
1054720MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK, AZ, UT4 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

Enrollment IDStateProvider typePAC IDDetails
I20080204000045 WA Practitioner - Nurse Practitioner 2860574514 Reassigns benefits to 5 organizations
I20250115002976 AK Practitioner - Nurse Practitioner 2860574514 Reassigns benefits to 1 organization
I20250115003424 AZ Practitioner - Nurse Practitioner 2860574514 Reassigns benefits to 1 organization
I20250306002670 UT Practitioner - Nurse Practitioner 2860574514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puget Sound Gastroenterology PLLCGroup PAC ID 1759278252, 59 clinicians

Practice addresses (Care Compare)

209 Lilly Rd NE
Suite B
Olympia, WA 98506-5030
Phone (360) 413-8250

Hospital & facility affiliations

  • Mason General Hospital & Family of Clinics Hospital, Shelton, WA, CCN 501336
  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019
  • Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP30007907WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis County Community Health Services CurrentSince May 15, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 19, 2024 Accepting new patients
Providence Health & Services Washington CurrentSince Sep 1, 2018 Accepting new patients
Signify Health, LLC CurrentSince Jan 13, 2025 Accepting new patients
Grays Harbor County Public Hospital District No 1 CurrentSince Aug 1, 2021 Accepting new patients
Puget Sound Gastroenterology, PLLC CurrentSince Jan 22, 2024 Accepting new patients
Puget Sound Gastroenterology, PLLC Current Accepting new patients
Grays Harbor County Public Hospital District No 1 Current Accepting new patients
Lewis County Community Health Services CurrentSince May 15, 2023 Accepting new patients
Puget Sound Gastroenterology, PLLC CurrentSince Jan 22, 2024 Accepting new patients
Puget Sound Gastroenterology, PLLC Past Accepting new patients
Cellnetix Pathology, PLLC Past Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients

Locations

247 S Alaska St
Palmer, AK 99645
Phone (907) 215-2353

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403

1800 Cooks Hill Rd
Ste G
Centralia, WA 98531
Phone (360) 736-3042

2690 NE Kresky Ave
Chehalis, WA 98532
Phone (360) 330-9595

600 E Main St
Elma, WA 98541
Phone (360) 346-2222

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

105 W Simpson Ave
McCleary, WA 98557
Phone (360) 346-2222

16504 9th Ave SE
Ste 201
Mill Creek, WA 98012
Phone (425) 686-7138

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303

1620 Cooper Point Rd SW
Olympia, WA 98502
Phone (360) 486-6710

209 Lilly Rd NE
#B
Olympia, WA 98506
Phone (360) 413-8250

209 Lilly Rd NE
Ste B
Olympia, WA 98506
Phone (360) 413-8250

Interoperability endpoints

  • Direct secure messaging: tgrandm001@direct.sp-mc.org
  • Direct secure messaging: terra.grandmason@gastrohealth.eclinicaldirectplus.com
  • FHIR API: https://7e6d65ac-543a-4d66-acb8-36b51c8c951c.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1235328501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 LILLY RD NE # B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065030",
            "telephone_number": "360-413-8250",
            "fax_number": "360-413-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 LILLY RD NE # B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065030",
            "telephone_number": "360-413-8250",
            "fax_number": "360-413-8830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Kenyon St NW Ste 1",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985024578",
            "country_code": "US",
            "telephone_number": "253-234-7027",
            "fax_number": "800-476-0457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANDMASON",
        "first_name": "TERRA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1054720",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.