Jennifer Grant, DNP, PMHNP, RN, LMT

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

TBD Issued in OR

Practice address

2110 Mission St SE Ste 305
Salem, OR 97302-0038

Phone

(503) 379-1902

NPI assigned

Jun 20, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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 1

Specialty

Nurse Practitioner

Education

Oregon Health Sciences University School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Mental Performance LLCGroup PAC ID 2062751357, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Precision Mental Performance LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, OR
  • NPI 1780166116
  Medicare reassignment Care Compare group NPD
• Precision Mental Performance LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1316569502
  NPD (past)
• Precision Mental Performance LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
  • NPI 1881348647
  NPD (past)

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1245679463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 SW TAYLORS FERRY RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195879",
            "telephone_number": "503-313-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 MISSION ST SE STE 305",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973020038",
            "telephone_number": "503-379-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP, RN, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202009213RN",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "19165",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "TBD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latricia Graf
• Christina Graham
• Joshua Graham, THW
• Julie Ann Graham, CADC I
• Jocelyn Gran, PHARMD
• Neda Lynne Grant, MA, LPC
• Valinda Grant
• Jessica Ashley Grapentine, RDH
• Grassroots Counseling and Consulting LLC
• Joshua Cole Gratwohl, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Salem, OR
• Providers in Salem, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.