KIMBERLY J GRANT (NPI# 1902428568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902428568 |
| Entity Type | Individual |
| Full Name | KIMBERLY J GRANT |
| Credential | APRN, PMHNP-BC |
| Practice Address |
8680 Baymeadows Rd E Apt 1413 Jacksonville FL 32256-4002 |
| Practice Telephone | 9047168658 |
| Mailing Telephone | 9047168658 |
| Enumeration Date | 2020-05-17 |
| Last Update Date | 2020-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2020010462 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336789353 | Kimberly Renee Grant | Occupational Therapist | 4878 W Park Cir, Atlanta, GA 30349-2049 | 2020-01-07 |
| 1447634969 | Kimberly Grant | Speech-Language Pathologist | 9102 N Lilley Rd, #249, Plymouth, MI 48170-4644 | 2015-07-14 |
| 1487953352 | Kimberly Elizabeth Grant | Physical Therapy Assistant | 6134 Bridlewood Ln, Charlotte, NC 28215-1612 | 2011-03-17 |
| 1538681234 | Kimberly Elizabeth Grant | Pharmacist | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2017-07-13 |
| 1154691079 | Kimberly Javon Grant | Massage Therapist | 211 Pleasant Home Rd, Suite F-1, Augusta, GA 30907-0518 | 2012-01-09 |
| 1992082150 | Kimberly Michelle Grant | Nurse Practitioner | 1115 E. Ridgewood St., Orlando, FL 32803 | 2011-11-15 |
| 1811273063 | Kimberly S. Grant | Counselor | 276 Main St, Lewiston, ME 04240-7024 | 2011-11-01 |
| 1841419496 | Kimberly Elise Grant | Occupational Therapist | 455 N 3rd St, Suite 200, Phoenix, AZ 85004-3924 | 2007-04-24 |
| 1871569855 | Kimberly Gilliam Grant | Physician Assistant | 6107 N 1st St Ste 103, Fresno, CA 93710-5460 | 2006-02-28 |
| Street Address |
8680 BAYMEADOWS RD E APT 1413 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-4002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691843 | Eralene Manangan | Nurse Practitioner | 4205 Belfort Rd Ste 4030, Jacksonville, FL 32216-1475 | 2020-08-28 |
| 1306456025 | Richard Mercer | Nurse Practitioner | 3545 Saint Johns Bluff Rd S Ste 137, Jacksonville, FL 32224-2682 | 2020-08-06 |
| 1467060434 | Rebecca Bertone | Nurse Practitioner | 8540 Turkey Oaks Dr S, Jacksonville, FL 32277-2920 | 2020-07-16 |
| 1861018616 | Octavia J Robertson | Nurse Practitioner | 3562 Boone Park Ave, Jacksonville, FL 32205-8433 | 2020-06-17 |
| 1447710900 | Shannska Atis | Nurse Practitioner | 580 W 8th St Fl II5, Jacksonville, FL 32209-6533 | 2019-03-21 |
| 1811462237 | Dzenefa Ramic | Nurse Practitioner | 10175 Fortune Pkwy Unit 206, Jacksonville, FL 32256-6748 | 2018-10-11 |
| 1851871024 | Shakhia Grant | Nurse Practitioner | 3636 University Blvd S Ste B, Jacksonville, FL 32216-4223 | 2018-08-17 |
| 1295230845 | Lacey Cawthron | Nurse Practitioner | 8130 Baymeadows Cir W Ste 109, Jacksonville, FL 32256-1837 | 2018-03-27 |
| 1083116107 | Kbn Healthcare, Pllc | Nurse Practitioner | 9471 Baymeadows Rd Ste 3, Jacksonville, FL 32256-7932 | 2018-03-05 |
| 1578092201 | Rachel Dale Hollenbach | Nurse Practitioner | 4217 Baymeadows Rd Ste 2, Jacksonville, FL 32217-4676 | 2017-06-06 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
Please comment or provide details below to improve the information on KIMBERLY J 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.