Individual provider Active NPI

Lori L Grant, APRN, FNP-C, RD

  • Family Nurse Practitioner
  • Boerne, TX
National Provider Identifier
1578645925
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142181 Issued in TX
Practice address
30 Cascade Caverns Rd
Boerne, TX 78015-8308
Phone
(830) 816-5518
Fax
(830) 331-1042
NPI assigned
Oct 19, 2006
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP142181 TX Primary
Registered Dietitian 133V00000X DT04039 TX
Registered Nurse 163W00000X 904537 TX

Addresses

Primary practice location

30 Cascade Caverns Rd
Boerne, TX 78015-8308

Mailing address

30 Cascade Caverns Rd
Boerne, TX 78015-8308
Phone (830) 816-5518

Other identifiers 1

IdentifierTypeStateIssuer
134806203MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190930002720 TX Practitioner - Nurse Practitioner 8426128869 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellen W Lin MD PAGroup PAC ID 2961589916, 7 clinicians
Aressana Health PLLCGroup PAC ID 5193214765, 2 clinicians

Practice addresses (Care Compare)

21 Spurs LN
Suite 240
San Antonio, TX 78240-1671
Phone (210) 690-0777

8221 Palisades Dr
Live Oak, TX 78233-3402
Phone (210) 272-7216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
904537TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Izuchukwu Okpara MD, P.a. CurrentSince Jun 26, 2024 Accepting new patients
Ellen W Lin MD PA CurrentSince Jan 13, 2025 Accepting new patients
Aressana Health, PLLC CurrentSince Sep 23, 2025 Accepting new patients
MRI Now CurrentSince Sep 1, 2024 Accepting new patients
MJF Rehabilitation PA PastSince Jan 13, 2025 Accepting new patients
Laurence Robert Bower III PastSince Sep 1, 2024 Accepting new patients
Larouge Personal Home Care, Inc. PastSince Jul 1, 2021 Accepting new patients

Locations

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

2500 Wilcrest Dr
Ste 300
Houston, TX 77042
Phone (213) 288-3538

21 Spurs Ln
Ste 240
San Antonio, TX 78240
Phone (210) 690-0777

255 E Sonterra Blvd
Ste 203
San Antonio, TX 78258
Phone (210) 639-6897

4835 Medical Dr
Unit 29275
San Antonio, TX 78229

8221 Palisades Dr
San Antonio, TX 78233
Phone (210) 272-7216

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1578645925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CASCADE CAVERNS RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780158308",
            "telephone_number": "830-816-5518",
            "fax_number": "830-331-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CASCADE CAVERNS RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780158308",
            "telephone_number": "830-816-5518",
            "fax_number": "830-331-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "LORI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP-C, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142181",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT04039",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "904537",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134806203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.