Active NPI
Elizabeth Ann Grant, CNS
- Psychiatric/Mental Health Clinical Nurse Specialist
- Bedford, IN
National Provider Identifier
1780744698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 70000056A
- Practice address
- 2900 W. 16TH Street
Bedford, IN 47421-3510 - Phone
- (812) 279-3747
- Fax
- (812) 275-1328
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 70000056 | IN | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 70000056A | IN | Primary |
Addresses
Primary practice location
2900 W. 16TH Street
Bedford, IN 47421-3510
Mailing address
2900 W. 16TH Street
Bedford, IN 47421-3510
Phone (812) 279-3747
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)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70000056 | IN | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1780744698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 W. 16TH STREET",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474213510",
"telephone_number": "812-279-3747",
"fax_number": "812-275-1328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 W. 16TH STREET",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474213510",
"telephone_number": "812-279-3747",
"fax_number": "812-275-1328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IN",
"license": "70000056",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "IN",
"license": "70000056A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.