Stephen Grantham, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R095593 Issued in AR

Practice address

39 Ridgewood Loop
Vilonia, AR 72173-8058

Phone

(501) 912-6884

NPI assigned

Feb 17, 2016

Last updated

Feb 17, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1043679129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 RIDGEWOOD LOOP",
            "city": "VILONIA",
            "state": "AR",
            "postal_code": "721738058",
            "telephone_number": "501-912-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 RIDGEWOOD LOOP",
            "city": "VILONIA",
            "state": "AR",
            "postal_code": "721738058",
            "telephone_number": "501-912-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANTHAM",
        "first_name": "STEPHEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R095593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Joe Dallas, P.D.
• David J. Manning, OD, PA (Vilonia Eye Care)
• Olivia K Davis
• Savannah Davis
• Sarah Elizabeth Eskola, OTD, OTR
• Michael D Hambuchen Sr., R.PH.
• Harps Food Stores, Inc (Harps Pharmacy #229)
• Crystal L. Hart, LAC
• Sequoia Head
• Sarah Heinsohn

• Registered Nurse in Vilonia, AR
• Providers in Vilonia, AR by specialty
• Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.