Individual provider Active NPI

Catherine Grant, CRNP

  • Family Nurse Practitioner
  • Slickville, PA
National Provider Identifier
1700892817
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
UP001497-B Issued in PA
Practice address
3021 Emilio Center
Suite 3
Slickville, PA 15684
Phone
(724) 468-4099
Fax
(724) 468-3370
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X UP001497-B PA Primary

Addresses

Primary practice location

3021 Emilio Center
Suite 3
Slickville, PA 15684

Mailing address

3021 Emilio Center Suite 3
Slickville, PA 15684
Phone (724) 468-4099

Other identifiers 1

IdentifierTypeStateIssuer
83048MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20111220000105 PA Practitioner - Nurse Practitioner 0941475032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associates in Family Health Care IncGroup PAC ID 1254576135, 3 clinicians

Practice addresses (Care Compare)

3021 Emilio Ctr
Suite 3
Slickville, PA 15684-0160

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UP001497-BPAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Family Health Care Inc. Family CurrentSince Jan 14, 1992 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cgrant@direct.excelahealth.org

Organizations & group practices 1

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1700892817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 EMILIO CENTER SUITE 3",
            "city": "SLICKVILLE",
            "state": "PA",
            "postal_code": "15684",
            "telephone_number": "724-468-4099",
            "fax_number": "724-468-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 EMILIO CENTER",
            "address_2": "SUITE 3",
            "city": "SLICKVILLE",
            "state": "PA",
            "postal_code": "15684",
            "telephone_number": "724-468-4099",
            "fax_number": "724-468-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "CATHERINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "UP001497-B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83048",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slickville, PA

Sources for this page

Verify at the official NPI Registry.