Active NPI
Linda L Grant, N.P.
- Nurse Practitioner
- Walnut, IL
National Provider Identifier
1407806953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209-000187
- Practice address
- 131 East Jackson Street
Walnut, IL 61376 - Phone
- (815) 379-2161
- NPI assigned
- May 12, 2006
- Last updated
- Aug 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209-000187 | IL | Primary |
Addresses
Primary practice location
131 East Jackson Street
Walnut, IL 61376
Mailing address
101 E Miller Rd
Sterling, IL 61081-1252
Phone (815) 625-4790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00278896 | Other | IL | RAILROAD MEDICARE |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-000187 | IL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1407806953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E MILLER RD",
"city": "STERLING",
"state": "IL",
"postal_code": "610811252",
"telephone_number": "815-625-4790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 EAST JACKSON STREET",
"city": "WALNUT",
"state": "IL",
"postal_code": "61376",
"telephone_number": "815-379-2161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "LINDA",
"middle_name": "L",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209-000187",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00278896",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Walnut, IL
- Allure of Walnut , LLC
- Dean a. Hulsing PC (Walnut Chiropractic Clinic)
- Katie C Edwards
- Daniel B Fuertges, DDS
- Carolyn Jean Gale, PA-C
- Heritage Manor - Walnut, LLC (Heritage Health)
- Heritage Manor - Walnut, LLC (Heritage Health)
- Dean A Hulsing, D.C.
- Colton Ronald Johnson, MD
- Julia Rackley Perry Memorial Hospital (Perry Memorial Walnut Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.