Individual provider Active NPI

Sandra Grant

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1811183569
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11029553 Issued in FL
Practice address
4848 Pond Pine Way
Lake Worth, FL 33463-3504
Phone
(561) 676-7728
NPI assigned
Sep 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024192808 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11029553 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP500020825 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NUR-APRN-LIC-254643 MT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP70003326 WA

Addresses

Primary practice location

4848 Pond Pine Way
Lake Worth, FL 33463-3504

Mailing address

4848 Pond Pine Way
Lake Worth, FL 33463-3504
Phone (561) 676-7728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250102002751 FL Practitioner - Nurse Practitioner 6608303656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32211
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP500020825DCMDPsychiatric/Mental Health Nurse Practitioner
APRN11029553FLMDPsychiatric/Mental Health Nurse Practitioner
NUR-APRN-LIC-254643MTMDPsychiatric/Mental Health Nurse Practitioner
0024192808VAMDPsychiatric/Mental Health Nurse Practitioner
AP70003326WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Health, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Harmony United Florida, LLC CurrentSince Jan 13, 2025 Accepting new patients
My Wellness Journee LLC Current Accepting new patients
Harmony United Pennsylvania PLLC Past Accepting new patients

Locations

966 S Wickham Rd
Ste 102
Melbourne, FL 32904

3235 SW 34th St
Ocala, FL 34474
Phone 3525059115 ext. 100

7227 N US Highway 1
Ste 210
Port St John, FL 32927
Phone (321) 459-1192

15544 W Colonial Dr
Winter Garden, FL 34787
Phone (352) 504-0340

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1811183569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 POND PINE WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334633504",
            "telephone_number": "561-676-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 POND PINE WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334633504",
            "telephone_number": "561-676-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024192808",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11029553",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP500020825",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-254643",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP70003326",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.