Active NPI
Aundrea Louise Grant, FNP
- Nurse Practitioner
- Roseville, CA
National Provider Identifier
1902769854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95037707
- Practice address
- 350 Roseville Pkwy Apt 2215
Roseville, CA 95747-4163 - Phone
- (530) 906-1554
- NPI assigned
- Dec 8, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95037707 | CA | Primary |
Addresses
Primary practice location
350 Roseville Pkwy Apt 2215
Roseville, CA 95747-4163
Mailing address
350 Roseville Pkwy Apt 2215
Roseville, CA 95747-4163
Phone (530) 906-1554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95037707 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778976000000",
"number": "1902769854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 ROSEVILLE PKWY APT 2215",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957474163",
"telephone_number": "530-906-1554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 ROSEVILLE PKWY APT 2215",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957474163",
"telephone_number": "530-906-1554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "AUNDREA",
"middle_name": "LOUISE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-08",
"last_updated": "2026-05-17",
"certification_date": "2026-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95037707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
- Granite Bay Surgery Center, LLC
- Granite Pointe Eye Care, Inc., an Optometric Corporation (Foothills Optometry)
- Granite Pointe Eye Care, Inc., an Optometric Corporation
- Granite Spring Care Home I Inc
- Granite Wellness Centers (Roseville Campus)
- Sharay T Grant, ACSW
- Kristin Grassman
- Jill Grattan, PHD
- David W Grattendick, MD
- Noelle Ann Gravallese, CADC, SUDRC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2026; 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.