MRS. KATINA GRANT (NPI# 1851879126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851879126 |
| Entity Type | Individual |
| Full Name | MRS. KATINA GRANT |
| Credential | FNP-C |
| Practice Address |
122 E Academy St Canton MS 39046 |
| Mailing Address |
122 E Academy St Canton MS 39046-4502 |
| Practice Telephone | 6018598992 |
| Mailing Telephone | 6018598992 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
902801 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 170 Sivley Ave, Jackson, MS 392032064 | 6018261325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760744114 | Katina L Grant | Case Manager/Care Coordinator | 7107 W 12th St, 201, Little Rock, AR 72204-2404 | 2012-06-12 |
| Street Address |
122 E ACADEMY ST |
| City | CANTON |
| State | MS |
| Zip Code | 39046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174163620 | Samantha Smith | Family Medicine | 122 E Academy St, Canton, MS 39046-4502 | 2020-01-13 |
| 1194214288 | Hicks Gynecology PC | Obstetrics & Gynecology | 122 E Academy St, Canton, MS 39046-4502 | 2018-05-04 |
| 1598908774 | L.c. Tennin, Jr M.d., P.a. | Internal Medicine | 122 E Academy St, Canton, MS 39046-4502 | 2009-04-17 |
| 1275543597 | L C Tennin Jr. | Internal Medicine | 122 E Academy St, Canton, MS 39046-4502 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858053 | Pediatric Haven | Skilled Nursing Facility | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-20 |
| 1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
| 1881245736 | Mildred Loving | Technician | 323 Shady Lane, Canton, MS 39046 | 2019-09-23 |
| 1295384683 | Betty Bass | Technician | 693 Miggins Road, Canton, MS 39046 | 2019-09-09 |
| 1972081644 | Charles Brayden Jones | Physical Therapist | 276 Nissan Pkwy Ste 400, Canton, MS 39046 | 2018-08-03 |
| 1013436062 | Andrew J Breland | Counselor | 210 E Peace St, Canton, MS 39046 | 2017-09-11 |
| 1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
| 1619362977 | Shameca Hudson | Nurse Practitioner | 274 Cobbville Dr E, Canton, MS 39046 | 2015-04-03 |
| 1144644386 | Margaret Reimers Beckwith | Chiropractor | 124 Links Drive, I-103, Canton, MS 39046 | 2014-02-07 |
| 1053753194 | Tanya Linette Calhoun | Nurse Practitioner | 1171 Hart Street, Canton, MS 39046 | 2013-07-17 |
| Find all providers in zip 39046 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578055349 | Laurie-ann Cadene Mitchell | Nurse Practitioner | 3271 Riverside Ct, Canton, MI 48188-2330 | 2018-06-06 |
| 1104328053 | Katelyn Marie Carey | Nurse Practitioner | 45300 Lothrop Rd, Canton, MI 48188-1080 | 2018-03-07 |
| 1760022834 | Sydney C Pritchett | Nurse Practitioner | 2600 Tuscarawas St W, Canton, OH 44708-4644 | 2020-01-07 |
| 1235642778 | Joanne Marie Foith | Nurse Practitioner | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2017-11-07 |
| 1346693504 | Kyle Mccarthy | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2016-07-22 |
| 1659765832 | Lucia V Ocanoviciu | Nurse Practitioner | 460 Northside Cherokee Blvd Ste 300, Canton, GA 30115-8019 | 2015-03-25 |
| 1942634175 | Jacqueline Marks | Nurse Practitioner | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2013-08-23 |
| 1104133321 | Laura R. Pierce | Nurse Practitioner | 4650 Hills and Dales Rd Nw, Canton, OH 44708-6220 | 2010-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143024 | Desoto Family Wellness Center, LLC | Nurse Practitioner | 3495 Cobblestone Blvd South, Southaven, MS 38672-3867 | 2020-10-30 |
| 1760096127 | Sarah Freeman Adams | Nurse Practitioner | 710 Ms -371, Mooreville, MS 38857 | 2020-09-03 |
| 1295353290 | Ashley Smith Allen | Nurse Practitioner | Rankin Rural Medical Center, 129 Center Street Suite B, Richland, MS 39218 | 2020-07-07 |
| 1619591542 | Kristy S. Franks | Nurse Practitioner | 2803 Cobb Stump Rd, Fulton, MS 38843-7391 | 2020-06-06 |
| 1013543388 | Mallory Elizabeth Boggs | Nurse Practitioner | 159 Fountains Blvd Ste B, Madison, MS 39110-6344 | 2020-03-19 |
| 1265072821 | Settlemires Family Medical Clinic, LLC | Nurse Practitioner | 3198 Highway 72 W, Corinth, MS 38834-9303 | 2020-01-13 |
| 1588211916 | Pattye Dorris | Nurse Practitioner | 415 Us Highway 49 N, Tutwiler, MS 38963-5091 | 2019-08-21 |
| 1457907248 | Tanya Sanderson | Nurse Practitioner | 4208 Ridgemont Drive, Belden, MS 38826 | 2019-08-16 |
| 1720556319 | Julie Smythe Harper | Nurse Practitioner | 86 Berry Rd, Newhebron, MS 39140-5496 | 2018-11-13 |
| 1063912046 | Laquania Williams | Nurse Practitioner | 470 County Road 471, Vardaman, MS 38878-9770 | 2018-02-16 |
| Find all providers with the same taxonomy | ||||
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| 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.