Paula Grant, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

308392-1 Issued in NY

Practice address

2105 W Genesee St
Syracuse, NY 13219-1698

Phone

(315) 468-3239

Fax

(315) 468-2917

NPI assigned

Mar 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1346562667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOMECROFT RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132063041",
            "telephone_number": "315-463-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132191698",
            "telephone_number": "315-468-3239",
            "fax_number": "315-468-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "PAULA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "308392-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "308382",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrellyn Rhea Grant-Case, PT, DPT, NCS
• Alexis Haley Grant
• Breanna Elizabeth Grant, MSW
• Carroll Grant, PH.D.
• Jill Grant
• Tyler Grant, RN
• Gina Grasso-Mims, LCSW
• Anthony J Grasso Jr., DDS
• Jason Graterol
• Kathryn Graves, M.S. CCC-SLP

• Registered Nurse in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.