Individual provider Active NPI

Christina Louise Granados, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1255641619
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4339 Issued in KS
Practice address
727 N Waco Ave Ste 575
Wichita, KS 67203-3951
Phone
(316) 202-8549
NPI assigned
Oct 19, 2010
Last updated
Oct 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4339 KS Primary

Addresses

Primary practice location

727 N Waco Ave Ste 575
Wichita, KS 67203-3951

Mailing address

2420 N Amarado St
Wichita, KS 67205-1521
Phone (316) 312-4384

Other practice location 1

4505 East 47th Street South
Wichita, KS 67210
Phone (316) 529-9100 ext. 8352

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4339KSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tasha L. Parker LLC Clinical CurrentSince Dec 25, 2018 Accepting new patients

Locations

727 N Waco Ave
Ste 575
Wichita, KS 67203
Phone (316) 202-8549

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1255641619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 N AMARADO ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051521",
            "telephone_number": "316-312-4384",
            "fax_number": "316-777-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N WACO AVE STE 575",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033951",
            "telephone_number": "316-202-8549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4505 East 47th Street South",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "67210",
            "country_code": "US",
            "telephone_number": "316-529-9100 x8352",
            "fax_number": "316-529-9351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANADOS",
        "first_name": "CHRISTINA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.