Individual provider Active NPI

Tarsha Scarlett-Grant, FNP

  • Family Nurse Practitioner
  • Southbury, CT
National Provider Identifier
1982481149
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12380 Issued in CT
Practice address
9 Union SQ Unit 1051
Southbury, CT 06488-2204
Phone
(475) 689-7021
NPI assigned
Sep 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 12380 CT Primary

Addresses

Primary practice location

9 Union SQ Unit 1051
Southbury, CT 06488-2204

Mailing address

163 Chester Ave
Waterbury, CT 06704-1307
Phone (203) 695-6789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250313003238 NY Practitioner - Nurse Practitioner 7911429469 Reassigns benefits to 1 organization
I20260602000614 CT Practitioner - Nurse Practitioner 7911429469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

900 Madison Ave
Bridgeport, CT 06606-5534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12380CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brookview Medical Associates, PLLC Single Specialty CurrentSince Jan 10, 2025 Accepting new patients
The Concierge NPS LLC CurrentSince Aug 17, 2025 Accepting new patients

Locations

9 Union Sq
Unit 1051
Southbury, CT 06488
Phone (475) 689-7021

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1982481149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 CHESTER AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041307",
            "telephone_number": "203-695-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 UNION SQ UNIT 1051",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882204",
            "telephone_number": "475-689-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARLETT-GRANT",
        "first_name": "TARSHA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

Verify at the official NPI Registry.