Kathleen L Grandison, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

57732 Issued in MA

Practice address

325B King St
Northampton, MA 01060-2370

Phone

(413) 625-9717

Fax

(413) 625-9329

NPI assigned

Dec 1, 2006

Last updated

Aug 15, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West County Physicians PC

  • Family Medicine Physician
  • Shelburne Falls, MA
  • NPI 1235207952
  Authorized official Same address or phone

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1144398868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT ST FL 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043563",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325B KING ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602370",
            "telephone_number": "413-625-9717",
            "fax_number": "413-625-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDISON",
        "first_name": "KATHLEEN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "57732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3019799",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanjeev J. Goswami, MD
• Jared Seth Gottlieb
• Meredith Ann Gould, PHD
• Michelle L. Goulet, FNP
• Janelle Marie Graham, BACHELORS DEGREE
• Eric Victor Granowitz, MD
• Kristin Ann Grant, LICSW
• Morgan Arach Grant, LCMHC, R-DMT
• Joanne R Grassia, PH.D.
• Leslie Chalmers Gravel

• Family Medicine Physician in Northampton, MA
• Providers in Northampton, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.