Active NPI
Melissa Ann Grant, MD
- Hospitalist Physician
- Tacoma, WA
National Provider Identifier
1629240882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD61239189
- Practice address
- 9040 Jackson Ave
Tacoma, WA 98431-9098 - Phone
- (253) 968-4621
- Fax
- (253) 968-5508
- NPI assigned
- Mar 27, 2008
- Last updated
- Mar 14, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD61239189 | WA | |
| Obstetrics & Gynecology Physician | 207V00000X | 24900 | NE | |
| General Practice Physician | 208D00000X | 24900 | NE | |
| Hospitalist Physician | 208M00000X | MD61239189 | WA | Primary |
Addresses
Primary practice location
9040 Jackson Ave
Tacoma, WA 98431-9098
Mailing address
9040 Jackson Ave Attn: OB-GYN Department
Tacoma, WA 98431-0001
Phone (253) 968-4621
Other practice location 1
400 S 43rd St
Renton, WA 98055-5714
Phone (206) 575-2598
Other names 1
- Melissa Ann Woods
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61239189 | WA | MD | Obstetrics & Gynecology Physician |
| 24900 | NE | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1629240882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE ATTN: OB-GYN DEPARTMENT",
"city": "TACOMA",
"state": "WA",
"postal_code": "984310001",
"telephone_number": "253-968-4621",
"fax_number": "253-968-5508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984319098",
"telephone_number": "253-968-4621",
"fax_number": "253-968-5508"
}
],
"practiceLocations": [
{
"address_1": "400 S 43rd St",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980555714",
"country_code": "US",
"telephone_number": "206-575-2598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANT",
"first_name": "MELISSA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-27",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD61239189",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NE",
"license": "24900",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "24900",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WA",
"license": "MD61239189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "WOODS",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.