Individual provider Active NPI

Sasha Lakis Grenton

  • Registered Nurse
  • Syracuse, NY
National Provider Identifier
1255015004
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
678086 Issued in NY
Practice address
233 E Manchester Rd
Syracuse, NY 13219-1507
Phone
(325) 925-3244
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 678086 NY Primary

Addresses

Primary practice location

233 E Manchester Rd
Syracuse, NY 13219-1507

Mailing address

233 E Manchester Rd
Syracuse, NY 13219-1507
Phone (315) 925-3244

Other names 1

  • Sasha Lakis Grant Other name

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

LicenseStateTypeSpecialty
678086NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1255015004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E MANCHESTER RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132191507",
            "telephone_number": "315-925-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E MANCHESTER RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132191507",
            "telephone_number": "325-925-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENTON",
        "first_name": "SASHA",
        "middle_name": "LAKIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "678086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASHA",
            "last_name": "GRANT",
            "middle_name": "LAKIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.