KELLY KIRKMAN GRANT (NPI# 1649274002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649274002 |
| Entity Type | Individual |
| Full Name | KELLY KIRKMAN GRANT |
| Credential | FNP |
| Practice Address |
510 N Elam Ave Ste 202 Greensboro NC 27403-1177 |
| Practice Telephone | 3362993183 |
| Practice Fax Number | 3362991762 |
| Mailing Telephone | 3362993183 |
| Mailing Fax Number | 3362991762 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2018-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 200614 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
200614 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | PE# | 200614 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871958116 | Kelly Grant | Day Training, Developmentally Disabled Services | 3311 Colby Rd Ste I, Whitehall, MI 49461-9289 | 2015-12-30 |
| 1871619072 | Kelly Grant | Physical Therapist | 2988 Eaton Rd, Shaker Heights, OH 44122-2516 | 2007-03-21 |
| 1235760687 | Kelly Ann Grant | Occupational Therapy Assistant | 1204 Greensburg St, Columbia, KY 42728-1811 | 2020-02-03 |
| 1285128181 | Kelly Nagel Grant | Nurse Practitioner | 19176 Hall Rd, Clinton Township, MI 48038 | 2018-06-15 |
| 1790161198 | Kelly Grant | Behavioral Analyst | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2015-08-07 |
| 1710386891 | Kelly Grant | Registered Nurse | 43825 Michigan Ave, Canton, MI 48188-2551 | 2014-08-14 |
| 1194042721 | Kelly Grant | General Practice | 359 Middlefield Rd, Palo Alto, CA 94301-1345 | 2010-04-21 |
| 1720296817 | Kelly Katherine Grant | Emergency Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2007-05-20 |
| Street Address |
510 N ELAM AVE STE 202 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27403-1177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528508793 | Mallory Patterson | Nurse Practitioner | 510 N Elam Ave Ste 202, Greensboro, NC 27403-1177 | 2017-03-07 |
| 1932555018 | Endya Lanisse Frye | Pediatrics | 510 N Elam Ave Ste 202, Greensboro, NC 27403-1142 | 2016-05-09 |
| 1881072528 | Claire Kelleher | Pediatrics | 510 N Elam Ave Ste 202, Greensboro, NC 27403-1177 | 2015-05-14 |
| 1780978890 | Elizabeth Anne Tucker | Pediatrics | 510 N Elam Ave Ste 202, Greensboro, NC 27403-1142 | 2011-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1609438514 | Gail Corneau | Psychologist | Uncg Psychology Clinic, 1100 West Market Street, Greensboro, NC 27403 | 2019-07-01 |
| 1528527298 | Kendall Austin Macdonald | Hearing Instrument Specialist | 2823 A Spring Garden St, Suite A, Greensboro, NC 27403 | 2019-03-13 |
| 1093292237 | Andrew Robertson | Pharmacist | 1903 W. Florida St, Greensboro, NC 27403 | 2018-07-20 |
| 1447778071 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403 | 2017-09-04 |
| 1144607128 | Waldo's Optical | Eyewear Supplier (Equipment, not the service) | 2500 Spring Garden St., Suite C, Greensboro, NC 27403 | 2015-04-29 |
| 1851703144 | Tedra Slade | Social Worker | 612 Pasteur Dr., Suite 300, Greensboro, NC 27403 | 2014-05-21 |
| 1336568807 | Brian Sninsky | Urology | Alliance Urology Specialists, Pa, 509 N. Elam Ave., 2nd Floor, Greensboro, NC 27403 | 2014-04-14 |
| 1003237785 | Peter Reich | Counselor | 907 Englewood St, Greensboro, NC 27403 | 2013-12-23 |
| 1508295429 | Alexander Wilson Lpc Inc | Counselor | 3719 West Market Street, Suite B, Greensboro, NC 27403 | 2013-11-01 |
| Find all providers in zip 27403 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513573 | Deanna Zieglowsky Michaux | Nurse Practitioner | 3803 Cardinal Ct, Greensboro, NC 27410-9139 | 2020-09-18 |
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1871145912 | Jasmine Mcentyre | Nurse Practitioner | 605 College Road, Greensboro, NC 27410-4101 | 2019-07-09 |
| 1831673821 | Kathryn Monet Bradshaw | Nurse Practitioner | 1105 Mcdowell Dr, Greensboro, NC 27408-6008 | 2018-09-17 |
| 1093296477 | Adebimpe Abimbola Olofintuyi | Nurse Practitioner | 6000 Black Willow Dr, Greensboro, NC 27405-8202 | 2018-08-23 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1952890824 | Peace Dzigbordi Dormon | Nurse Practitioner | 5695 New Avedon Dr, Greensboro, NC 27455-8399 | 2018-05-07 |
| 1588153316 | Caitlyn Cook Johnston | Nurse Practitioner | 1000 Cowles Clinc Way Ste D-300, Greensboro, GA 30642-5289 | 2018-05-07 |
| 1992214357 | Jennifer Lynn Chatmon | Nurse Practitioner | 307 Pisgah Church Rd Ste J, Greensboro, NC 27455-2758 | 2017-09-28 |
| 1578084034 | Cone Health Connected Care, LLC | Nurse Practitioner | 2800 Lawndale Dr Ste 109, Greensboro, NC 27408 | 2017-07-05 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27403 |
Please comment or provide details below to improve the information on KELLY KIRKMAN 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.