Active NPI
Carla M Grant, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11027939
- 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, 2026
- 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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 13
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95034975 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 12.014313 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
| APRN11027939 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
| G182531 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 2171048 | ID | MD | Psychiatric/Mental Health Nurse Practitioner |
| 5021447 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1183751 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0024192164 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP61644382 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Telecare, PLLC | Current | Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| Brightside Health, Inc. | Current | Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Current | Accepting new patients | |
| Clarant Health LLC | Current | Accepting new patients | |
| St. Mary's Hospital Inc | Current | Accepting new patients | |
| St. Mary's Hospital Inc | Current | Accepting new patients | |
| St. Mary's Hospital Inc | Current | Accepting new patients | |
| Access Telecare California, P.C. | Current | 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
- 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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
CT, DC, FL, IA, ID, MA, MD, NC, PA, VA, WA
-
- Psychiatry Physician
- North Miami, FL
- NPI 1619965795
-
dba Clearwater Valley Health
- Family Medicine Physician
- Orofino, ID
- NPI 1073551396
-
- Critical Access Hospital
- Orofino, ID
- NPI 1255449013
-
- Community/Behavioral Health Agency
- Boca Raton, FL
- NPI 1285525907
-
dba St. Mary's Health
- Critical Access Hospital
- Cottonwood, ID
- NPI 1841292307
-
dba Clearwater Valley Health
- Rural Health Clinic/Center
- Orofino, ID
- NPI 1033153739
-
- Psychiatry Physician
- Coeur d'Alene, ID
- NPI 1174661151
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.