Laura Dawn Grant

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NPF95019373 Issued in CA

Practice address

4011 N Marks Ave
Fresno, CA 93722-4555

Phone

(559) 860-4925

NPI assigned

Mar 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greater Fresno Health Organization, Inc.

  • Exclusive Provider Organization
  • Fresno, CA
  • NPI 1265521488
  Medicare reassignment
• Greater Fresno Health Organization Inc.

  • Clinic/Center
  • Fresno, CA
  • NPI 1184049793
  NPD (past)
• Greater Fresno Health Organization, Inc.

  • Community Health Clinic/Center
  • Fresno, CA
  • NPI 1033627179
  NPD (past)

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1649928219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41865 CHIPMUNK LN",
            "city": "AUBERRY",
            "state": "CA",
            "postal_code": "936029706",
            "telephone_number": "559-556-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 N MARKS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224555",
            "telephone_number": "559-860-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "LAURA",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF95019373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fresno",
            "affiliation": "N",
            "address_1": "4011 N Marks Ave",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937224555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Granite Ridge Home Health Nursing Care, Inc.
• Adam Michael Grant, DDS
• Anna Marie Grant
• Craig Edward Grant
• Kimberly Gilliam Grant, PA-C
• Shawnriel a. Grant
• Steven Grapperhaus
• Albert C Grasso, LCSW
• Jason Gravano, PH.D.
• Yvonne Gravelle

• Family Nurse Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Family Nurse Practitioner in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.