Bobbie Nicole Grant, CERT.HAIRLOSS SPEC.

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

KK502776 Issued in CA

Practice address

2757 White Acres Dr
San Jose, CA 95148-3692

Phone

(408) 508-0531

NPI assigned

Feb 25, 2019

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1790242980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 WHITE ACRES DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951483692",
            "telephone_number": "408-508-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 WHITE ACRES DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951483692",
            "telephone_number": "408-508-0531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 E Taylor St",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951123127",
            "country_code": "US",
            "telephone_number": "408-508-0531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "BOBBIE",
        "middle_name": "NICOLE",
        "credential": "CERT.HAIRLOSS SPEC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "CA",
            "license": "KK502776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hubert J Granizo, DDS
• David A. Granovetter, MD
• Natalie Navina Grant-Clemons
• Amber Grant
• Bianca Grant
• Gyanai Grant
• Rachelle Rose Grant, M.ED., LMFT
• Wanisha Grant
• Zoe Grate
• Sarah Ann Grato, LMFT

• Prosthetics Case Management in San Jose, CA
• Providers in San Jose, CA by specialty
• Prosthetics Case Management in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.