Individual provider Active NPI

Carla M Grant, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1447035605
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11027939 Issued in FL
Practice address
10301 Hagen Ranch Rd Ste B200
Boynton Beach, FL 33437-3723
Phone
(561) 752-9490
Fax
(561) 752-9491
NPI assigned
Aug 28, 2023
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2171048 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5021447 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1183751 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61644382 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95034975 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G182531 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024192164 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11027939 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12.014313 CT

Addresses

Primary practice location

10301 Hagen Ranch Rd Ste B200
Boynton Beach, FL 33437-3723

Mailing address

1065 NE 125TH St Ste 300
North Miami, FL 33161-5833
Phone (305) 891-0050

Other practice location 1

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4870

Other practice location 2

540 Litchfield St
Torrington, CT 06790-6679
Phone (972) 449-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ID, CT, WA, NC, VA, IA, TX, MA, MD, DC, CA, PA13 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 13

Enrollment IDStateProvider typePAC IDDetails
I20231031001529 FL Practitioner - Nurse Practitioner 1850747643 Reassigns benefits to 3 organizations
I20250313001724 ID Practitioner - Nurse Practitioner 1850747643 Reassigns benefits to 5 organizations
I20250317003838 CT Practitioner - Nurse Practitioner 1850747643 Reassigns benefits to 1 organization
I20250326000029 WA Practitioner - Nurse Practitioner 1850747643 Reassigns benefits to 1 organization
I20250327003600 NC Practitioner - Nurse Practitioner 1850747643 Reassigns benefits to 1 organization
I20250327003648 VA Practitioner - Nurse Practitioner 1850747643 Reassigns benefits to 1 organization
I20250331003011 IA Practitioner - Nurse Practitioner 1850747643 Reassigns benefits to 1 organization
I20250620001426 TX Practitioner - Nurse Practitioner 1850747643 Reassigns benefits to 1 organization
I20250709001468 MA Practitioner - Nurse Practitioner 1850747643 Reassigns benefits to 1 organization
I20250712000192 MD Practitioner - Nurse Practitioner 1850747643 Reassigns benefits to 1 organization
I20250712000215 DC Practitioner - Nurse Practitioner 1850747643 Reassigns benefits to 1 organization
I20250730001410 CA Practitioner - Nurse Practitioner 1850747643 Reassigns benefits to 1 organization
I20250905001752 PA Practitioner - Nurse Practitioner 1850747643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians
Access Telecare California PCGroup PAC ID 8325373525, 86 clinicians
Compass Health Systems PAGroup PAC ID 6204733413, 59 clinicians

Practice addresses (Care Compare)

MC Lean, VA 22101
Phone (972) 449-0450

Jacksonville, FL 32211
Phone (415) 360-3348

Spring, TX 77382
Phone (972) 449-0540

San Antonio, TX 78255
Phone (972) 449-0540

San Mateo, CA 94402
Phone (972) 449-0540

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (972) 449-0540

1000 36TH St
Vero Beach, FL 32960-4862
Phone (972) 449-0540

10000 SW Innovation Way
Port Saint Lucie, FL 34987-2111
Phone (972) 449-0540

1001 Penn Ave
Ottumwa, IA 52501-6427
Phone (972) 449-0540

1065 NE 125TH St
Suite 206
North Miami, FL 33161-5832
Phone (888) 852-6672

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (972) 449-0540

1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (972) 449-0540

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (972) 449-0540

13314 Sunny Brooke PL
Potomac, MD 20854-6392
Phone (972) 449-0540

1395 S Pinellas Ave
Tarpon Springs, FL 34689-3790
Phone (972) 449-0540

1501 Burnet Rd
Brownwood, TX 76801-8520
Phone (972) 449-0540

1705 Tarboro St SW
Wilson, NC 27893-3428
Phone (972) 449-0540

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (972) 449-0540

1900 Pine St
Abilene, TX 79601-2432
Phone (972) 449-0540

20 York St
New Haven, CT 06510-3220
Phone (972) 449-0540

200 SE Hospital Ave
Suite 2346
Stuart, FL 34994-2346
Phone (972) 449-0540

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (972) 449-0540

202 N Division St
Auburn, WA 98001-4939
Phone (972) 449-0540

2134 Riverstone Loop
Ferndale, WA 98248-8024
Phone (972) 449-0540

24 Hospital Ave
Danbury, CT 06810-6099
Phone (972) 449-0540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95034975CAMDPsychiatric/Mental Health Nurse Practitioner
12.014313CTMDPsychiatric/Mental Health Nurse Practitioner
APRN11027939FLMDPsychiatric/Mental Health Nurse Practitioner
G182531IAMDPsychiatric/Mental Health Nurse Practitioner
2171048IDMDPsychiatric/Mental Health Nurse Practitioner
5021447NCMDPsychiatric/Mental Health Nurse Practitioner
1183751TXMDPsychiatric/Mental Health Nurse Practitioner
0024192164VAMDPsychiatric/Mental Health Nurse Practitioner
AP61644382WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC CurrentSince Mar 12, 2025 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Mar 1, 2025 Accepting new patients
Brightside Health, Inc. CurrentSince Aug 25, 2025 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Mar 1, 2025 Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Nov 9, 2025 Accepting new patients
Clarant Health LLC CurrentSince Jul 1, 2025 Accepting new patients
St. Mary's Hospital Inc CurrentSince Mar 1, 2025 Accepting new patients
St. Mary's Hospital Inc CurrentSince Nov 9, 2025 Accepting new patients
St. Mary's Hospital Inc CurrentSince Mar 1, 2025 Accepting new patients
Access Telecare California, P.C. CurrentSince Jul 16, 2025 Accepting new patients

Locations

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

20 York St
North Haven, CT 06510
Phone (203) 688-2433

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

23257 State Road 7
Ste 213
Boca Raton, FL 33428
Phone (561) 858-8343

6501 Arlington Expy
Ste B105
Jacksonville, FL 32211
Phone (904) 302-9355

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

701 Lewiston St
Cottonwood, ID 83522
Phone (208) 962-3251

301 Cedar St
Orofino, ID 83544
Phone (208) 476-4555

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

7356 15th Ave NW
Seattle, WA 98117

Interoperability endpoints

  • Direct secure messaging: cgrant1275766@ahs.direct-ci.com

Organizations & group practices 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1447035605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 300",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615833",
            "telephone_number": "305-891-0050",
            "fax_number": "305-891-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 HAGEN RANCH RD STE B200",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373723",
            "telephone_number": "561-752-9490",
            "fax_number": "561-752-9491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Kootenai Health Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838146051",
            "country_code": "US",
            "telephone_number": "208-625-4870",
            "fax_number": "208-625-4878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 LITCHFIELD ST",
            "address_purpose": "LOCATION",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "country_code": "US",
            "telephone_number": "972-449-0540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "CARLA",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "2171048",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5021447",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1183751",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61644382",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95034975",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G182531",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024192164",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11027939",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12.014313",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.