Blair Grant

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

122525 Issued in CO

Practice address

6465 Greenwood Plaza Blvd
Suite 300
Centennial, CO 80111-4905

Phone

(303) 267-3596

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720142151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 FLYING S LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809152400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 GREENWOOD PLAZA BLVD",
            "address_2": "SUITE 300",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114905",
            "telephone_number": "303-267-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "BLAIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "122525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Seccombe Graham, OTR
• Nathaniel Granger Jr.
• Granite Healthcare, Inc.
• Granite Healthcare, Inc.
• Granite Healthcare, Inc.
• Breanna R Graves, LPC
• Chloe Seline Graves, PT, DPT
• Jessica Gray
• Patrick Landon Gray, BCBA
• Shayla Gray

• Adult Health Nurse Practitioner in Centennial, CO
• Providers in Centennial, CO by specialty
• Adult Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.