Pamela K. Grant, MSN, RN, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP1990 Issued in AZ

Practice address

15420 N. 32ND Drive
Phoenix, AZ 85053-3998

Phone

(602) 866-1974

Fax

(602) 375-3949

NPI assigned

Sep 17, 2006

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)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

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.

• Northwest Cloinic for Children

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1083815666
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1437256153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15420 N. 32ND DRIVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533998",
            "telephone_number": "602-866-1974",
            "fax_number": "602-375-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15420 N. 32ND DRIVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533998",
            "telephone_number": "602-866-1974",
            "fax_number": "602-375-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "PAMELA",
        "middle_name": "K.",
        "credential": "MSN, RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP1990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "963670",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Grant, DPT
• Katelyn Grant
• Kimberly Elise Grant, OT
• Nicholas Joseph Grant, PT, DPT
• Oneil Grant, DO
• Tylor Paul Grant, PT, DPT
• Rachael Kellie Grantham, PSY.D.
• Hannah Le Graphenteen, FNP-C
• Brittany Grasberger, DPT
• Savannah Grassel, PA-C

• Pediatric Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.