Suzanne J. Grant, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

281041 Issued in CA

Practice address

4020 5TH Ave
San Diego, CA 92103-2106

Phone

(619) 260-7022

Fax

(619) 260-7310

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1346362316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 ALDER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162323",
            "telephone_number": "619-280-5587",
            "fax_number": "619-280-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 5TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032106",
            "telephone_number": "619-260-7022",
            "fax_number": "619-260-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "SUZANNE",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "281041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mari E Grant, R.N.
• Perriette Grant
• Rebekah Iris Grant, M.D.
• Richard Grant, D.D.S.,M.S.
• Shawn Grant, AMFT
• Unrieta S. Grant, DPT
• Lisa Granwehr, OTR
• Alexandra J Granzotto, OTD, OTR/L
• Forrest Patrick Granzotto, DC
• Desirae Grap

• Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.