Individual provider Active NPI

Elizabeth Rose Grant, APRN

  • Family Nurse Practitioner
  • Inglis, FL
National Provider Identifier
1295022895
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9204908 Issued in FL
Practice address
41 N Inglis Ave
Inglis, FL 34449-9463
Phone
(352) 447-2122
NPI assigned
Jul 1, 2011
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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 ARNP9204908 FL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20140225001738 FL Practitioner - Nurse Practitioner 6709016421 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Medical Associates P a CurrentSince Feb 5, 2014 Accepting new patients
West Florida Medical Associates, PA CurrentSince Feb 5, 2014 Accepting new patients

Locations

3404 N Lecanto Hwy
Ste A
Beverly Hills, FL 34465
Phone (352) 513-4867

11707 N Williams St
Dunnellon, FL 34432
Phone (352) 465-1919

11707 N Williams St
Ste 2
Dunnellon, FL 34432
Phone (352) 465-1199

41 N Inglis Ave
Inglis, FL 34449
Phone (352) 447-3031

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1295022895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 N INGLIS AVE",
            "city": "INGLIS",
            "state": "FL",
            "postal_code": "344499463",
            "telephone_number": "352-447-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 N INGLIS AVE",
            "city": "INGLIS",
            "state": "FL",
            "postal_code": "344499463",
            "telephone_number": "352-447-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9204908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglis, FL

Sources for this page

Verify at the official NPI Registry.