Debra Frazier Grant, ARNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

AP30001917 Issued in WA

Practice address

207 Center St E
Eatonville, WA 98328

Phone

(360) 832-2167

Fax

(360) 832-3661

NPI assigned

Mar 20, 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

Other identifiers 2

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396860375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 497TH ST E",
            "city": "EATONVILLE",
            "state": "WA",
            "postal_code": "983289458",
            "telephone_number": "360-569-2509",
            "fax_number": "360-832-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 CENTER ST E",
            "city": "EATONVILLE",
            "state": "WA",
            "postal_code": "98328",
            "telephone_number": "360-832-2167",
            "fax_number": "360-832-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "DEBRA",
        "middle_name": "FRAZIER",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP30001917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9604174",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7900616",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eatonville Integrative Medicine P.S. (Eatonville Integrative Medicine)
• Eatonville School District
• Elk Hills Massage & Bodywork
• Sandra J Forsythe
• Hayley Gardner
• Anita Ann Gray-Saito, MA
• Tisha D Guier, RN BSN
• Katreena M Hallberg, LMP
• Megan Nicole Hamilton, NP
• Eric Martin Hanson, D.D.S.

• Women's Health Nurse Practitioner in Eatonville, WA
• Providers in Eatonville, WA by specialty
• Women's Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.