Winsome Leonie Grant, PH.D., NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

330629 Issued in NY

Practice address

163 W 125TH St
4TH Floor
New York, NY 10027-4436

Phone

(212) 531-8011

Fax

(212) 749-1375

NPI assigned

Mar 19, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

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.

• MSK-Guttman Diagnostic Center

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1629049184
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457475170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COLUMBUS AVE",
            "address_2": "TOWNHOUSE C 10",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072527",
            "telephone_number": "914-961-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 W 125TH ST",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274436",
            "telephone_number": "212-531-8011",
            "fax_number": "212-749-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "WINSOME",
        "middle_name": "LEONIE",
        "name_prefix": "Dr.",
        "credential": "PH.D., NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "330629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Faye Grant, SYLVIA GRANT, LCSW
• Tara L Grant, LAC
• Tori Grant
• Tyree Grant, LMSW
• Valerie Grant, PT
• Leah R Granucci, CPNP
• Lee D Granum
• Graphene Physical Therapy PLLC
• Bianca Gras, LMSW
• Nicole Gras, M.D.

• Family Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.