Active NPI
Grant Health and Wellness LLC
- Psychiatric/Mental Health Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1912763780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- GRANT HEALTH AND WELLNESS LLC
- Practice address
- 208 W Lester St
Tucson, AZ 85705-6552 - Phone
- (520) 233-4585
- NPI assigned
- Feb 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Titilayo Grant, NP
- Title
- Ceo
- Phone
- (602) 492-4992
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
208 W Lester St
Tucson, AZ 85705-6552
Mailing address
3015 S Bell PL
Chandler, AZ 85286-2496
Phone (602) 492-4992
Other names 1
- Grant Wellness Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
208 W Lester St
Tucson, AZ 85705
Phone (520) 233-4585
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725494400000",
"number": "1912763780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 S BELL PL",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852862496",
"telephone_number": "602-492-4992",
"fax_number": "480-612-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 W LESTER ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857056552",
"telephone_number": "520-233-4585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANT HEALTH AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-28",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A",
"authorized_official_last_name": "GRANT",
"authorized_official_first_name": "TITILAYO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-492-4992",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grant Wellness Center",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Grant Wellness Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tucson, AZ
- Shona Granillo, M.S.
- Soledad A Granillo, PHARMACIST
- Per Granstrom, MD
- Grant and Tanque Verde Dental LLC (Grant and Tanque Verde Dental)
- Grant Dmso LLC (Wellness Dental)
- Grant Road Dentistry, LLP (Grant Road Dentistry)
- Mark Austin Grant, MD
- Susan Jane Grant, PMHNP-BC, FNP-BC
- Terrance R. Grant, M.D.
- Daniela Granzo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.