Active NPI
Jean-Marie Grande, CCC-A
- Audiologist
- Lancaster, PA
National Provider Identifier
1124285846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT005932
- Practice address
- 810 Plaza Blvd
Lancaster, PA 17601-2762 - Phone
- (717) 394-5088
- NPI assigned
- May 20, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT005932 | PA | Primary |
Addresses
Primary practice location
810 Plaza Blvd
Lancaster, PA 17601-2762
Mailing address
810 Plaza Blvd
Lancaster, PA 17601-2762
Phone (717) 394-5088
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT005932 | PA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1124285846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 PLAZA BLVD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176012762",
"telephone_number": "717-394-5088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 PLAZA BLVD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176012762",
"telephone_number": "717-394-5088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANDE",
"first_name": "JEAN-MARIE",
"credential": "CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT005932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
- Ashley Elizabeth Graham, CRNP
- Monal Atulkumar Graham, PTA
- Victoria Ann Graham, M.S. CCC-SLP
- Todd C. Grambau, D.M.D.
- Thomas Charles Grana Jr., D.O.
- Bradford D Granger, M.D.
- John Michael Granger, M.D.
- Paula Dionisia Pulgar Grannells, CRNP
- Jonathan M. Gransee, PSY.D.
- Grassroots Recovery Home Shares LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.