Active NPI
Simple Healthcare, NP in Family Health, PLLC
Doing business as Simple Healthcare
- Family Medicine Physician
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SIMPLE HEALTHCARE, NP IN FAMILY HEALTH, PLLC
- Doing business as
- Simple Healthcare
- Practice address
- 418 Broadway Ste R
Albany, NY 12207-2922 - Phone
- (646) 907-9994
- NPI assigned
- Oct 10, 2023
- Last updated
- Dec 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chenelle Grant, DNP, FNP-BC
- Title
- Provider
- Phone
- (646) 907-9994
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
418 Broadway Ste R
Albany, NY 12207-2922
Mailing address
418 Broadway Ste R
Albany, NY 12207-2922
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376028514 | Medicaid | NY | |
| 1801441399 | Medicaid | NY | |
| 1750806204 | Medicaid | NY |
Other names 1
- Simple Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6143 186th St
Ste 489
Fresh Meadows, NY 11365
35 Arkay Dr
Hauppauge, NY 11788
Phone (888) 674-2742
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Hauppauge, NY
- NPI 1801441399
-
- Family Nurse Practitioner
- Jamaica, NY
- NPI 1750806204
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1376028514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702684800000",
"number": "1760263354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 BROADWAY STE R",
"city": "ALBANY",
"state": "NY",
"postal_code": "122072922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 BROADWAY STE R",
"city": "ALBANY",
"state": "NY",
"postal_code": "122072922",
"telephone_number": "646-907-9994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLE HEALTHCARE, NP IN FAMILY HEALTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-10",
"last_updated": "2023-12-16",
"certification_date": "2023-12-16",
"status": "A",
"authorized_official_last_name": "GRANT",
"authorized_official_first_name": "CHENELLE",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "646-907-9994",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, FNP-BC"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376028514",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801441399",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750806204",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Simple Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.