TACY GRANT (NPI# 1396306957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396306957 |
| Entity Type | Individual |
| Full Name | TACY GRANT |
| Credential | FNP-C |
| Practice Address |
60011 Stratford Dr Smithville MS 38870-9786 |
| Practice Telephone | 2057126504 |
| Mailing Telephone | 2057126504 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
903441 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
60011 STRATFORD DR |
| City | SMITHVILLE |
| State | MS |
| Zip Code | 38870-9786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689776999 | Rebecca Cagle | Nurse Practitioner | 63420 Highway 25 N, Smithville, MS 38870 | 2006-09-05 |
| 1588774814 | Nicholas Allen Cummings | Psychiatry & Neurology | 63420 Hwy 25 N, Smithville, MS 38870 | 2006-08-30 |
| 1669927885 | Alisha Marie Parham | Nurse Practitioner | 60021 Monroe St, Smithville, MS 38870 | 2016-08-17 |
| 1083975742 | Jamesha Tumblin | Nurse Practitioner | 60021 Monroe St, Smithville, MS 38870 | 2012-05-30 |
| 1922087493 | Smithville Pharmacy | Pharmacy | 63432 Highway 25 N, Smithville, MS 38870-7763 | 2006-01-12 |
| 1730153586 | Neil R. Wanee | Family Medicine | 60021 Monroe St, Smithville, MS 38870-7779 | 2006-02-16 |
| 1942760210 | Shannon Christian Burt | Nurse Practitioner | 60021 Monroe St, Smithville, MS 38870-7779 | 2019-03-22 |
| 1376921569 | Access Family Health Services, Inc. | Clinic/Center | 60021 Monroe St, Smithville, MS 38870-7779 | 2015-05-08 |
| 1073850970 | Melissa K Beach | Social Worker | 60021 Monroe St, Smithville, MS 38870-7779 | 2013-01-11 |
| 1780967596 | Whitney Johnson Carroll | Nurse Practitioner | 60021 Monroe St, Smithville, MS 38870-7779 | 2011-09-28 |
| Find all providers in zip 38870 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396288684 | Michayala Bush | Nurse Practitioner | 164 Paul St, Smithville, GA 31787-2653 | 2016-11-18 |
| 1477907087 | Krista Goff | Nurse Practitioner | 135 Shiloh Ln, Smithville, TN 37166-2964 | 2016-04-20 |
| 1215358635 | Dana Zimmerman | Nurse Practitioner | 14660 Gale Rd, Smithville, MO 64089-8540 | 2014-01-02 |
| 1851557268 | Amy Alicia Evans | Nurse Practitioner | 516 A West Main St, Smithville, TN 37166-1142 | 2008-08-05 |
| 1689776999 | Rebecca Cagle | Nurse Practitioner | 63420 Highway 25 N, Smithville, MS 38870 | 2006-09-05 |
| 1457351710 | Beckie S Moore | Nurse Practitioner | 601 S Us Highway 169, Attn: Er, Smithville, MO 64089-9317 | 2005-07-28 |
| 1760027254 | Amanda Rachael Sanders | Nurse Practitioner | 1201a Hill Rd, Smithville, TX 78957-9533 | 2019-11-08 |
| 1730720863 | Francesca Lynn Minnis | Nurse Practitioner | 601 S Us Highway 169, Smithville, MO 64089-9317 | 2019-09-30 |
| 1942760210 | Shannon Christian Burt | Nurse Practitioner | 60021 Monroe St, Smithville, MS 38870-7779 | 2019-03-22 |
| 1487135026 | Melody Anderson | Nurse Practitioner | 520 W Main St, Smithville, TN 37166-1138 | 2018-08-22 |
| Find all providers in SMITHVILLE | ||||
| City | SMITHVILLE |
| Zip Code | 38870 |
Please comment or provide details below to improve the information on TACY GRANT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.