Amanda Jo Grant, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209020850 Issued in IL

Practice address

2001 Philo Rd
Urbana, IL 61802-8007

Phone

(217) 552-1211

Fax

(217) 398-9077

NPI assigned

Aug 10, 2020

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hospital & Medical Foundation of Paris, Inc.

  • Critical Access Hospital
  • Paris, IL
  • NPI 1679502322
  NPD
• Hospital & Medical Foundation of Paris, Inc.

  • Clinic/Center
  • Paris, IL
  • NPI 1629280367
  NPD (past)

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1790396273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PHILO RD",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618028007",
            "telephone_number": "217-398-9066",
            "fax_number": "217-398-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PHILO RD",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618028007",
            "telephone_number": "217-552-1211",
            "fax_number": "217-398-9077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 S. 8th St.",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "61938",
            "country_code": "US",
            "telephone_number": "217-398-9066",
            "fax_number": "217-398-9077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2207 Seneca Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "IL",
            "postal_code": "619203836",
            "country_code": "US",
            "telephone_number": "217-246-5229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2024-07-08",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209020850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Curry Graff, MD
• Sarah Ann Graff, MD
• Vanessa J Grafton, CNM
• Alexander V Grandt
• Casey Paul Granger, BSN, RN, MSN, APRN
• Lars Grant, M.D.
• Brett Gray, OT
• Douglas L Gray, MD
• Lashonda Gray, CRNA
• Lisa M Gray, MD

• Nurse Practitioner in Urbana, IL
• Providers in Urbana, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.