GRANT OOSSE NPI 1396311510

NPI Information

  • NPI: 1396311510
  • Provider Name: GRANT OOSSE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 770 KENMOOR AVE SE STE 100
    GRAND RAPIDS, MI
    ZIP 49546
  • Phone: (616) 272-3533

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NPI Details

Grant Oosse is a family nurse practitioner in Grand Rapids, MI. Grant Oosse NPI is 1396311510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI
ZIP 49546-602
Phone: (616) 272-3533
Fax: (616) 259-4839

The NPI 1396311510 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/28/2021 and was last updated on 8/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse4704342731MICHIGANNo
2363LF0000XNurse PractitionerFamily3017125KENTUCKYNo
3363LF0000XNurse PractitionerFamily4704342731MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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