Active NPI
Margaret Grant, M.D.
- Psychiatry Physician
- Las Vegas, NV
National Provider Identifier
1366564387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 16680
- Practice address
- 4505 S Maryland Pkwy
Las Vegas, NV 89154-9900 - Phone
- (702) 895-3627
- Fax
- (808) 236-8647
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD-12594 | HI | |
| Psychiatry Physician | 2084P0800X | 16680 | NV | Primary |
Addresses
Primary practice location
4505 S Maryland Pkwy
Las Vegas, NV 89154-9900
Mailing address
PO Box 452005
Las Vegas, NV 89154-2005
Phone (702) 895-3627
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-12594 | HI | MD | Psychiatry Physician |
| 16680 | NV | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1366564387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 452005",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891542005",
"telephone_number": "702-895-3627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 S MARYLAND PKWY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891549900",
"telephone_number": "702-895-3627",
"fax_number": "808-236-8647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "MARGARET",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "MD-12594",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NV",
"license": "16680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.