Active NPI
Janelle Grizzle
- Physician Assistant
- Hamden, CT
National Provider Identifier
1174008320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 8102 Town Walk Dr
Hamden, CT 06518-3715 - Phone
- (631) 838-1196
- NPI assigned
- Oct 3, 2018
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
8102 Town Walk Dr
Hamden, CT 06518-3715
Mailing address
8102 Town Walk Dr
Hamden, CT 06518-3715
Phone (631) 838-1196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Medical Group, Inc | Current | Accepting new patients | |
| Pratt Medical Group, Inc | Current | Accepting new patients |
Locations
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1982668240
-
- Internal Medicine Physician
- Boston, MA
- NPI 1275570319
-
- Pulmonary Disease Physician
- Boston, MA
- NPI 1508187642
-
- Internal Medicine Physician
- Framingham, MA
- NPI 1831539592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1174008320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8102 TOWN WALK DR",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183715",
"telephone_number": "631-838-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8102 TOWN WALK DR",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183715",
"telephone_number": "631-838-1196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIZZLE",
"first_name": "JANELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-03",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.