Jennifer Michelle Grant Wilson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

503376 Issued in NY

Practice address

336 W 263Rd St
Bronx, NY 10471-1106

Phone

(718) 884-7800

Fax

(718) 549-2857

NPI assigned

Jun 28, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Pci Home Care Group Inc

  • Home Health Agency
  • Riverdale, NY
  • NPI 1700850971
  NPD (past)

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1386095602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 MIDWOOD ST APT 5E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031413",
            "telephone_number": "718-552-0582",
            "fax_number": "718-549-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 W 263RD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711106",
            "telephone_number": "718-884-7800",
            "fax_number": "718-549-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT WILSON",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "503376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Granson, AUDIOLOGIST
• Grant and Kantor DDS P.C.
• Grant Family Transportation, LLC
• Grant Pharma Inc
• Grant Pharmacy, Inc.
• Shannon Grant-Hailey, RD, CDN
• Akbar Grant
• Alma Angela Grant
• Camille Grant, RN
• Carol A Grant, MD

• All providers in Bronx, NY
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.