Grant Stephen Proia

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

220368 Issued in AZ

Practice address

900 N Rural Rd Apt 2022
Chandler, AZ 85226-6094

Phone

(508) 688-0767

NPI assigned

May 24, 2024

Last updated

May 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in AZ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

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  Medicare reassignment NPD

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1477392801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N RURAL RD APT 2022",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852266094",
            "telephone_number": "508-688-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N RURAL RD APT 2022",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852266094",
            "telephone_number": "508-688-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROIA",
        "first_name": "GRANT",
        "middle_name": "STEPHEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "220368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn E. Procopio, FNP-C
• John Proctor
• Nathan K Proft, DPT
• Progressive Dentistry & Orthodontics
• Progressive Dentistry & Orthodontics LLC
• Promenade Dental PLLC
• Promise Medical Inc
• Adrienne Anissa Pronk, CSA
• Hannah Prost
• Prostate Cancer Institute of America LLC

• Acute Care Nurse Practitioner in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.