Individual provider Active NPI

Blair Alexandria Grant, MSN, APRN-RX, FNP-BC

  • Family Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1831741503
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2833 Issued in HI
Practice address
2547 10TH Ave
Honolulu, HI 96816-3030
Phone
(808) 391-7776
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-74495 HI
Nurse Practitioner 363L00000X 2833 HI
Family Nurse Practitioner 363LF0000X 2833 HI Primary

Addresses

Primary practice location

2547 10TH Ave
Honolulu, HI 96816-3030

Mailing address

2547 10TH Ave
Honolulu, HI 96816-3030
Phone (808) 391-7776

Other practice location 1

321 N Kuakini St Ste 201
Honolulu, HI 96817-2399
Phone (808) 523-8611 ext. 112

Other practice location 2

500 Ala Moana Blvd Ste 6D
Honolulu, HI 96813-4984
Phone (808) 777-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Honolulu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20250408001211 HI Order and Referring Only - Nurse Practitioner 4880029834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN-74495HIMDRegistered Nurse
2833HIMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: blair.grant@43479566319620.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1831741503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2547 10TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163030",
            "telephone_number": "808-391-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2547 10TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163030",
            "telephone_number": "808-391-7776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 N Kuakini St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968172399",
            "country_code": "US",
            "telephone_number": "808-523-8611 x112",
            "fax_number": "808-523-3377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Ala Moana Blvd Ste 6D",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968134984",
            "country_code": "US",
            "telephone_number": "808-777-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "BLAIR",
        "middle_name": "ALEXANDRIA",
        "credential": "MSN, APRN-RX, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN-74495",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "2833",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "2833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Honolulu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Honolulu",
            "address_1": "500 Ala Moana Blvd Ste 6D",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968134984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.