Elizabeth Rose Grant, APRN
Individual provider Active NPI Family Nurse Practitioner · Inglis, FL
NPI 1295022895 · NPPES record last updated Jul 6, 2023
Key facts
- NPI
- 1295022895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP9204908 (FL)
- Practice address
- 41 N Inglis Ave
Inglis, FL 34449-9463 - Phone
- (352) 447-2122
- NPI assigned
- Jul 1, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140225001738 | FL | Practitioner - Nurse Practitioner | 6709016421 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Medical Associates P a | Current |
Accepting new patients | |
| West Florida Medical Associates, PA | Current |
Accepting new patients |
Locations
3404 N Lecanto Hwy
Ste A
Beverly Hills, FL 34465
Phone (352) 513-4867
11707 N Williams St
Ste 2
Dunnellon, FL 34432
Phone (352) 465-1199
11707 N Williams St
Dunnellon, FL 34432
Phone (352) 465-1919
41 N Inglis Ave
Inglis, FL 34449
Phone (352) 447-3031
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9204908 | FL | Yes |
Addresses
Primary practice location
41 N Inglis Ave
Inglis, FL 34449-9463
Mailing address
41 N Inglis Ave
Inglis, FL 34449-9463
Phone (352) 447-2122
Other providers in Inglis, FL
- Brenna Morgan Arthur
- Pietro Giambanco
- In God We Believe Limited Liability Company
- Jered Jones
- Lizbette Maria Munoz
- Orthotic Works
- PBS Corp
All providers in Inglis, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.