Active NPI
David Jonathan Grant Sr., CRNA
- Certified Registered Nurse Anesthetist
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024165006
- Practice address
- 600 Gresham Dr
Norfolk, VA 23507-1904 - Phone
- (757) 473-0055
- Fax
- (757) 473-0075
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024165006 | VA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | ARNP3350272 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 2238 | SC |
Addresses
Primary practice location
600 Gresham Dr
Norfolk, VA 23507-1904
Mailing address
134 Business Park Dr
Virginia Beach, VA 23462-6523
Phone (757) 473-0055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN0808 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2238 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology Group of Tennessee, P. C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southwest Anesthesia, PC | Past | Accepting new patients | |
| Anesthesia Associates of Richmond, Inc | Past | Accepting new patients | |
| Piedmont Triad Anesthesia, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Nurse Anesthesia of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Zanesville Anesthesia Physicians Inc | Past | Accepting new patients | |
| Prisma Health-Upstate | Past | Accepting new patients | |
| Anesthesia Services of Kentucky, PLLC | Past | Accepting new patients | |
| Anesthesia Network Services, LLC | Past | Accepting new patients | |
| Kansas Professional Anesthesia and Pain Management Specialists, P.a. | Past | Accepting new patients |
Locations
135 W Ravine Rd
Ste 5-B
Kingsport, TN 37660
Phone (423) 224-3460
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Kingsport, TN
- NPI 1114927738
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1801831656
-
- Anesthesiology Physician
- Richlands, VA
- NPI 1760592323
-
- Anesthesiology Physician
- Ocala, FL
- NPI 1508199142
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1003866146
-
- Anesthesiology Physician
- Wichita, KS
- NPI 1710967211
-
- Certified Registered Nurse Anesthetist
- Elizabeth City, NC
- NPI 1689628729
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Winston-Salem, NC
- NPI 1467497081
Nurse Anesthetist, Certified Registered
-
dba Prisma Health Patewood Hospital
- General Acute Care Hospital
- Greenville, SC
- NPI 1124574223
-
- Anesthesiology Physician
- Zanesville, OH
- NPI 1982697546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1851337695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 BUSINESS PARK DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234626523",
"telephone_number": "757-473-0055",
"fax_number": "757-473-0075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 GRESHAM DR",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071904",
"telephone_number": "757-473-0055",
"fax_number": "757-473-0075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "DAVID",
"middle_name": "JONATHAN",
"name_suffix": "Sr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2016-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024165006",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP3350272",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "2238",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN0808",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
- Granby Internal Medicine PC
- Tina Renee Grandel, NNP
- Grandmas Comfort & Caring Hand, LLC
- Abbot Lee Granoff, MD
- Amy E. Grant, DDS
- Elizabeth J Grant, CRNA
- Katherine Leila Grant, MD
- Michelle M Grant, CRNA
- Thomas Russell Grant, M.D.
- Grase Speak Life Speech Therapy & Associates LLC (Speak Life Speech Therapy & Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.