Jami Grantz, APRN, CNP
Individual provider Active NPI Nurse Practitioner · Kingfisher, OK
NPI 1992155386 · NPPES record last updated Aug 26, 2016
Key facts
- NPI
- 1992155386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 69333 (OK)
- Practice address
- 1000 Kingfisher Reg Hosp Dr
Kingfisher, OK 73750 - Phone
- (405) 375-7847
- Fax
- (405) 375-7849
- NPI assigned
- Jun 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160804000729 | OK | Practitioner - Nurse Practitioner | 8123312717 | Reassigns benefits to 9 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Logan County Inc | Current | Accepting new patients | |
| Mercy Hospital Tishomingo, Inc | Current |
Accepting new patients | |
| Mercy Hospital Healdton, Inc. | Current |
Accepting new patients | |
| Mercy Hospital Tishomingo, Inc. | Current |
Accepting new patients | |
| Mercy Hospital Logan County, Inc | Current |
Accepting new patients | |
| Mercy Hospital Kingfisher, Inc | Current | Accepting new patients | |
| Mercy Hospital Watonga Inc | Current |
Accepting new patients | |
| Mercy Hospital Healdton, Inc | Current |
Accepting new patients | |
| Mercy Hospital Logan County, Inc | Current |
Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current |
Accepting new patients | |
| Mercy Hospital Kingfisher, Inc | Current |
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
3472 Hospital Rd
Healdton, OK 73438
Phone (580) 229-0079
3462 Hospital Rd
Healdton, OK 73438
Phone (580) 229-0701
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Acute Care Hospital | 282NR1301X | 69333 | OK | |
| Nurse Practitioner | 363L00000X | 69333 | OK | Yes |
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
Other providers in Kingfisher, OK
- Connie Lafave Gallupe
- Marisela Garcia
- Candace Garlett
- Gerald W. McMullin, O.D., Inc.
- Kendra Kay Gore
- Nancy Ellen Grayson
- Great Plains Care Center Inc.
- Lexie Maeann Guffey
- Richard D Hanes
- Elizabeth A Hemme
All providers in Kingfisher, OK · Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.