Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elijah Walker Grant

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1730073016

Elijah Walker Grant is a Nurse Practitioner in Newton, Massachusetts. Qualified in 2025, 1 year ago. Practices with Devens Treatment and Recovery Center LLC, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

34 Lincoln St
Newton, MA 02461-1507
Phone: (508) 304-0843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Friberg Pkwy, Westborough, MA 01581-3900 — (508) 329-6300

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN2359945 (MA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence RN2359945 (MA)

Record details

NPI number1730073016
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2025
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing address1309 Coffeen Ave Ste 1200, Sheridan, WY 82801-5777

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Devens Treatment And Recovery Center Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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