Stacy Gravesandy

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

28964301 Issued in NY

Practice address

21 Miller Ter
White Plains, NY 10607-1507

Phone

(914) 462-6264

NPI assigned

Jul 20, 2026

Sex

Unspecified or another gender identity

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

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1225958283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MILLER TER",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MILLER TER",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071507",
            "telephone_number": "914-462-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVESANDY",
        "first_name": "STACY",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "28964301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas James Granderson, LPN
• Deanna Grandville
• Matteo Graniero
• Bailey Grant
• Janice Elizabeth Grant, NP
• Cynthia Evelyn Gray, MD
• Jocelyn Gray, LCSW
• Monique B Gray
• Scott P Grayson, PT, DPT
• Jenny Graziano, ED.S.

• Licensed Practical Nurse in White Plains, NY
• Providers in White Plains, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.