Nina Grullon-Montan, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN12802 Issued in RI

Practice address

1625 Diamond Hill Rd
Woonsocket, RI 02895-1771

Phone

(401) 762-1511

NPI assigned

Jan 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1093420176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ALICE AVE FL 1",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028955706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 DIAMOND HILL RD",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028951771",
            "telephone_number": "401-762-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRULLON-MONTAN",
        "first_name": "NINA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "RI",
            "license": "LPN12802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nina.grullon-montan@ctcprograms.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1625 Diamond Hill Rd",
            "city": "Woonsocket",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028951771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Colleen Gregory, PHD
• Aimee Marie Grenier, LPN
• Kimberly Griffith, LICSW
• Irina Grigoryev
• Emma Gross, LCSW
• Richard Michael Guernsey, PHARMD
• Jailyn Guerra
• David Charles Guevremont, PH.D.
• Susan E Guilmain, OTR
• Gynob, Inc

• All providers in Woonsocket, RI
• Licensed Practical Nurse in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.