Janie Grantham-Carlson

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

95-46221 Issued in CA

Practice address

3661 Ponderosa Rd
Shingle Springs, CA 95682-9460

Phone

(530) 677-2281

NPI assigned

Dec 13, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1215744206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 PONDEROSA RD",
            "city": "SHINGLE SPRINGS",
            "state": "CA",
            "postal_code": "956829460",
            "telephone_number": "530-677-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 PONDEROSA RD",
            "city": "SHINGLE SPRINGS",
            "state": "CA",
            "postal_code": "956829460",
            "telephone_number": "530-677-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANTHAM-CARLSON",
        "first_name": "JANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "95-46221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• School Registered Nurse in Shingle Springs, CA
• Providers in Shingle Springs, CA by specialty
• School Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.