Active NPI
Heather Marie Grant, AGPCNP-BC
- Adult Health Nurse Practitioner
- Stanford, CA
National Provider Identifier
1821731506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- NP95020703
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 723-4000
- NPI assigned
- Apr 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NPF95020703 | CA | |
| Acute Care Nurse Practitioner | 363LA2100X | NP95020703 | CA | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | NPF95020703 | CA | |
| Family Nurse Practitioner | 363LF0000X | NP95020703 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | NP95020703 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NPF95020703 | CA | MD | Nurse Practitioner |
| NP95020703 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Barbara County Auditor | Multi-Specialty | Current | Accepting new patients |
| Southern Humboldt Community Healthcare District | Current | Accepting new patients | |
| Southern Humboldt Community Healthcare District | Multi-Specialty | Current | Accepting new patients |
| Santa Barbara County Auditor | Current | Accepting new patients | |
| Santa Barbara County Auditor | Current | Accepting new patients |
Locations
509 Elm St
Garberville, CA 95542
Phone (707) 463-2400
733 Cedar St
Garberville, CA 95542
Phone (707) 923-3921
300 N San Antonio Rd
Rm 107
Santa Barbara, CA 93110
Phone (805) 681-5461
Interoperability endpoints
- heather.grant.p1@direct.csvs.nextgenshare.com
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1134162613
Multi-Specialty
-
- Critical Access Hospital
- Garberville, CA
- NPI 1003819376
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- Carpinteria, CA
- NPI 1558453860
-
- Federally Qualified Health Center (FQHC)
- Lompoc, CA
- NPI 1649096249
-
- Optometrist
- Fortuna, CA
- NPI 1952198012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1821731506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "HEATHER",
"middle_name": "MARIE",
"credential": "AGPCNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-19",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NPF95020703",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "NP95020703",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "CA",
"license": "NPF95020703",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95020703",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "NP95020703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.