Active NPI
Tena Grant, MS, RN
- Gerontology Registered Nurse
- Miramar, FL
National Provider Identifier
1619400363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Registered Nurse
- License
- RN 9248600
- Practice address
- 5171 SW 139TH Ter
Miramar, FL 33027 - Phone
- (267) 575-7977
- NPI assigned
- Apr 10, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | RN 9248600 | FL | Primary |
Addresses
Primary practice location
5171 SW 139TH Ter
Miramar, FL 33027
Mailing address
5171 SW 139TH Ter
Miramar, FL 33027
Phone (267) 575-7977
Other names 1
- Ms. Tena Lawrence
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)
- Not enrolled
- Credentials
- Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 9248600 | FL | MD | Gerontology Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1619400363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5171 SW 139TH TER",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "33027",
"telephone_number": "267-575-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5171 SW 139TH TER",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "33027",
"telephone_number": "267-575-7977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "TENA",
"name_prefix": "Ms.",
"credential": "MS, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-10",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "FL",
"license": "RN 9248600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TENA",
"last_name": "LAWRENCE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.