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AUDREY NADINE GRANT PAC
NPI 1073664199
Physician Assistant - Surgical in Washington, DC

Active since January 16, 2007PECOS Enrolled
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016(202) 537-4122 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Audrey Nadine Grant Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDREY NADINE GRANT PAC (NPI 1073664199) is an individual surgical provider in Washington, District Of Columbia, licensed in District Of Columbia (PA47) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073664199
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameAUDREY NADINE GRANTCredential: PAC
Location Address5255 LOUGHBORO RD NWWashington, DC 20016-2633
Mailing Address1332 Ingraham St NwWashington, DC 20011-3604
Phone(202) 537-4122
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073664199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in DC · PA47
5255 LOUGHBORO RD NW, Washington, DC 20016
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audrey Nadine Grant Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL RICHARD STAIRIKER CRNP
Nurse Practitioner
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
District of Columbia (202) 537-4000
HOWARD JIAHAU LI MD
Obstetrics & Gynecology
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
District of Columbia (202) 537-4000
MR. JOSEPH JOHN LIBRICZ JR. P.A.-C.
Physician Assistant (Surgical)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
District of Columbia (301) 589-3977
MICHAEL GOLDENHORN PHARMD
Pharmacist
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
District of Columbia (202) 537-4769
AARON CONARD
Radiology (Radiological Physics)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
District of Columbia (240) 366-7325
MONTY H. OPPENHEIM MD
Anesthesiology
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
District of Columbia (202) 243-2280
ANDREA L RICHARDSON MD PHD
Pathology (Cytopathology)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
District of Columbia (202) 537-4455
DR. SHIVANI AHLAWAT MD
Radiology (Diagnostic Radiology)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
District of Columbia (202) 537-4686

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audrey Grant's NPI number?

The NPI number for Audrey Grant is 1073664199. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Audrey Grant located?

Audrey Grant practices at 5255 Loughboro Rd NW, Washington, DC 20016. The listed phone number is (202) 537-4122.

What is Audrey Grant's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Audrey Grant enrolled in Medicare?

Yes. Audrey Grant is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Audrey Grant was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.