Active NPI
Christina Roberta Granillo, NCMA
- Case Manager/Care Coordinator
- Albany, OR
National Provider Identifier
1134519903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 774443
- Practice address
- 445 3Rd Ave SW
Albany, OR 97321-2272 - Phone
- (541) 967-3866
- Fax
- (541) 926-6271
- NPI assigned
- Jan 30, 2015
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 774443 | OR | Primary |
Addresses
Primary practice location
445 3Rd Ave SW
Albany, OR 97321-2272
Mailing address
445 3Rd Ave SW
PO Box 100
Albany, OR 97321-2272
Phone (541) 967-3866
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 774443 | OR | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422576000000",
"number": "1134519903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 3RD AVE SW",
"address_2": "PO BOX 100",
"city": "ALBANY",
"state": "OR",
"postal_code": "973212272",
"telephone_number": "541-967-3866",
"fax_number": "541-926-6271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 3RD AVE SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973212272",
"telephone_number": "541-967-3866",
"fax_number": "541-926-6271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANILLO",
"first_name": "CHRISTINA",
"middle_name": "ROBERTA",
"credential": "NCMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-30",
"last_updated": "2015-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OR",
"license": "774443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.