Active NPI
Laurel Ruth Grant, CRNP
- Family Nurse Practitioner
- Oakland, MD
National Provider Identifier
1487750170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RO65152
- Practice address
- 1027 Memorial Dr
Oakland, MD 21550-4343 - Phone
- (301) 533-3300
- Fax
- (301) 533-3299
- NPI assigned
- Sep 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RO65152 | MD | Primary |
Addresses
Primary practice location
1027 Memorial Dr
Oakland, MD 21550-4343
Mailing address
1027 Memorial Dr
Oakland, MD 21550-4343
Phone (301) 533-3300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 062402100 | Medicaid | MD | |
| 7102051000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO65152 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Western Maryland Health Care Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Federally Qualified Health Center (FQHC)
- Bruceton Mills, WV
- NPI 1679269807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310601600000",
"number": "1487750170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 MEMORIAL DR",
"city": "OAKLAND",
"state": "MD",
"postal_code": "215504343",
"telephone_number": "301-533-3300",
"fax_number": "301-533-3299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 MEMORIAL DR",
"city": "OAKLAND",
"state": "MD",
"postal_code": "215504343",
"telephone_number": "301-533-3300",
"fax_number": "301-533-3299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "LAUREL",
"middle_name": "RUTH",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2011-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "RO65152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "062402100",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7102051000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.