Individual provider Active NPI

Elizabeth Ann Grant, R.N.

  • General Practice Registered Nurse
  • Addison, VT
National Provider Identifier
1326699760
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
026.0016175 Issued in VT
Practice address
1218 Rte 17E
Enter Your Mailing Addres
Addison, VT 05491
Phone
(802) 922-4401
NPI assigned
Sep 26, 2019
Last updated
Sep 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 026.0016175 VT Primary

Addresses

Primary practice location

1218 Rte 17E
Enter Your Mailing Addres
Addison, VT 05491

Mailing address

1218 VT Route 17 E
Addison, VT 05491-8621
Phone (802) 759-2067

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL Addison
SOAP URL Addison

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
026.0016175VTMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1326699760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 VT ROUTE 17 E",
            "city": "ADDISON",
            "state": "VT",
            "postal_code": "054918621",
            "telephone_number": "802-759-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 RTE 17E",
            "address_2": "ENTER YOUR MAILING ADDRES",
            "city": "ADDISON",
            "state": "VT",
            "postal_code": "05491",
            "telephone_number": "802-922-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "VT",
            "license": "026.0016175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Addison",
            "affiliation": "N",
            "address_1": "1218 Rte 17E",
            "address_2": "Enter your mailing addres",
            "city": "Addison",
            "state": "VT",
            "country_code": "US",
            "postal_code": "05491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Addison",
            "affiliation": "N",
            "address_1": "1218 Rte 17E",
            "address_2": "Enter your mailing addres",
            "city": "Addison",
            "state": "VT",
            "country_code": "US",
            "postal_code": "05491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Addison, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.