Kelly Kirkman Grant, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200614 Issued in NC

Practice address

510 N Elam Ave Ste 202
Greensboro, NC 27403-1177

Phone

(336) 299-3183

Fax

(336) 299-1762

NPI assigned

Jun 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1649274002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N ELAM AVE STE 202",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031177",
            "telephone_number": "336-299-3183",
            "fax_number": "336-299-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N ELAM AVE STE 202",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031177",
            "telephone_number": "336-299-3183",
            "fax_number": "336-299-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "KELLY",
        "middle_name": "KIRKMAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "200614",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "200614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PE#",
            "identifier": "200614",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William M Gramig III, MD
• James Mitchell Granfortuna, M.D.
• Megan D. Granquist, ATC, LAT
• Breanna Grant
• Heather Lee Grant, L.AC
• Krystal Simone Rene Grant, APRN
• Lauren McKenzie Grant
• Grantham Group LLC
• David Stanley Grapey, MD
• Bernadette Graves

• Family Nurse Practitioner in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.