Individual provider Active NPI

Jami Grantz, APRN, CNP

  • Nurse Practitioner
  • Kingfisher, OK
National Provider Identifier
1992155386
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
69333 Issued in OK
Practice address
1000 Kingfisher Reg Hosp Dr
Kingfisher, OK 73750
Phone
(405) 375-7847
Fax
(405) 375-7849
NPI assigned
Jun 15, 2016
Last updated
Aug 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 69333 OK
Nurse Practitioner 363L00000X 69333 OK Primary

Addresses

Primary practice location

1000 Kingfisher Reg Hosp Dr
Kingfisher, OK 73750

Mailing address

1000 Kingfisher Reg Hosp Dr
Kingfisher, OK 73750
Phone (405) 375-7847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20160804000729 OK Practitioner - Nurse Practitioner 8123312717 Reassigns benefits to 9 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Kingfisher, Inc Current Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Aug 1, 2016 Accepting new patients
Mercy Hospital Kingfisher, Inc CurrentSince Aug 1, 2016 Accepting new patients
Mercy Hospital Logan County Inc Current Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Aug 1, 2016 Accepting new patients
Mercy Hospital Healdton, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Mercy Hospital Watonga Inc CurrentSince Aug 1, 2016 Accepting new patients
Mercy Hospital Healdton, Inc CurrentSince Jan 1, 2022 Accepting new patients
Mercy Hospital Tishomingo, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Aug 1, 2016 Accepting new patients
Mercy Hospital Tishomingo, Inc CurrentSince Jul 1, 2018 Accepting new patients

Locations

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

3462 Hospital Rd
Healdton, OK 73438
Phone (580) 229-0701

3472 Hospital Rd
Healdton, OK 73438
Phone (580) 229-0079

1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

1000 S Byrd St
Tishomingo, OK 73460
Phone (580) 371-2327

500 N Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-2233

Organizations & group practices 11

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": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1992155386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 KINGFISHER REG HOSP DR",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "73750",
            "telephone_number": "405-375-7847",
            "fax_number": "405-375-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 KINGFISHER REG HOSP DR",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "73750",
            "telephone_number": "405-375-7847",
            "fax_number": "405-375-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANTZ",
        "first_name": "JAMI",
        "credential": "APRN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "OK",
            "license": "69333",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "69333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingfisher, OK

Sources for this page

Verify at the official NPI Registry.