Individual provider Active NPI

Gerri Cooper Grant, PRN

  • Case Manager/Care Coordinator
  • Cleveland, OH
National Provider Identifier
1720810187
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
RS890350 Issued in OH
Practice address
13201 Granger Rd Ste 8
Cleveland, OH 44125-1979
Phone
(216) 831-2255
NPI assigned
Aug 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X QMHS OH
Respite Care 385H00000X
Case Manager/Care Coordinator 171M00000X RS890350 OH Primary

Addresses

Primary practice location

13201 Granger Rd Ste 8
Cleveland, OH 44125-1979

Mailing address

13201 Granger Rd Ste 8
Cleveland, OH 44125-1979
Phone (216) 831-2255

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
QMHSOHMDMental Health Counselor
RS890350OHMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1720810187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13201 GRANGER RD STE 8",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441251979",
            "telephone_number": "216-831-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 GRANGER RD STE 8",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441251979",
            "telephone_number": "216-831-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER GRANT",
        "first_name": "GERRI",
        "credential": "PRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "QMHS",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "RS890350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.