Individual provider Active NPI

Giselle Granados, OWNER

  • Vascular Sonography Radiologic Technologist
  • Wichita, KS
National Provider Identifier
1003597956
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X
Practice address
810 W Douglas Ave Ste C
Wichita, KS 67203-6133
Phone
(316) 202-8701
NPI assigned
Jul 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471V0105X Primary

Addresses

Primary practice location

810 W Douglas Ave Ste C
Wichita, KS 67203-6133

Mailing address

5335 S Stoneborough St
Wichita, KS 67217-6512
Phone (316) 202-8701

Other practice location 1

5335 S Stoneborough St
Wichita, KS 67217-6512
Phone (316) 202-8701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1003597956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 S STONEBOROUGH ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672176512",
            "telephone_number": "316-202-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W DOUGLAS AVE STE C",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672036133",
            "telephone_number": "316-202-8701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5335 S Stoneborough St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672176512",
            "country_code": "US",
            "telephone_number": "316-202-8701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANADOS",
        "first_name": "GISELLE",
        "credential": "OWNER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.