Individual provider Active NPI

Grace Eckford Grantier, CRNP

  • Family Nurse Practitioner
  • Mountain BRK, AL
National Provider Identifier
1538776281
Registry record updated Sep 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-180989 Issued in AL
Practice address
2700 Highway 280 S Ste 212
Mountain BRK, AL 35223-2468
Phone
(205) 878-4368
NPI assigned
Sep 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-180989 AL Primary

Addresses

Primary practice location

2700 Highway 280 S Ste 212
Mountain BRK, AL 35223-2468

Mailing address

2511 Altadena Forest Cir
Vestavia, AL 35243-4618
Phone (601) 408-1009

Other names 1

  • Grace Ann Eckford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20201028001821 AL Practitioner - Nurse Practitioner 6406266782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1601164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601164800000",
    "number": "1538776281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 ALTADENA FOREST CIR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352434618",
            "telephone_number": "601-408-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HIGHWAY 280 S STE 212",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232468",
            "telephone_number": "205-878-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANTIER",
        "first_name": "GRACE",
        "middle_name": "ECKFORD",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-27",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-180989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "ECKFORD",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain BRK, AL

Sources for this page

Verify at the official NPI Registry.