KARIN ELAINE GRANTHAM APRN
NPI 1164055950
Nurse Practitioner - Family in Tyler, TX

Active since February 20, 2020
409 W FERGUSON ST, TYLER, TX 75702(903) 596-8353 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2021, Feb 20, 2020 (2 updates tracked since 2020).

About Karin Elaine Grantham Aprn NPPES

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

KARIN ELAINE GRANTHAM APRN (NPI 1164055950) is an individual family provider in Tyler, Texas, licensed in Texas (1044084) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1164055950
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKARIN ELAINE GRANTHAMCredential: APRN
Location Address409 W FERGUSON STTyler, TX 75702-5632
Mailing Address16144 Rocky Ridge RdBullard, TX 75757-9733 · (903) 747-2205
Sole ProprietorYes
Enumeration DateFebruary 20, 2020
Last NPPES UpdateApril 21, 20252 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
NPI 1164055950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 1044084
Also ListedRegistered NurseTaxonomy 163W00000X · License 533441 (TX)
409 W FERGUSON ST, Tyler, TX 75702

Accepted Insurance

Other Providers at the Same Location NPPES 10

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

Dentist (General Practice)
409 W FERGUSON ST
TYLER, TX 75702
Nurse Practitioner
409 W FERGUSON ST
TYLER, TX 75702
Nurse Practitioner (Family)
409 W FERGUSON ST
TYLER, TX 75702
Family Medicine
409 W FERGUSON ST
TYLER, TX 75702
Family Medicine
409 W FERGUSON ST
TYLER, TX 75702
Family Medicine
409 W FERGUSON ST
TYLER, TX 75702
Dentist
409 W FERGUSON ST
TYLER, TX 75702
Clinical Nurse Specialist (Psychiatric/Mental Health)
409 W FERGUSON ST
TYLER, TX 75702

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 Karin Grantham's NPI number?

The NPI number for Karin Grantham is 1164055950. It was assigned to this individual provider in the NPPES registry on February 20, 2020.

Where is Karin Grantham located?

Karin Grantham practices at 409 W Ferguson St, Tyler, TX 75702. The listed phone number is (903) 596-8353.

What is Karin Grantham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Karin Grantham accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Karin Grantham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karin Grantham was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.