Individual provider Active NPI

Leah Grams, RN

  • Registered Nurse
  • Mankato, MN
National Provider Identifier
1255796793
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R179857-3 Issued in MN
Practice address
1961 Premier Dr Ste 340
Mankato, MN 56001-6839
Phone
(507) 345-8591
NPI assigned
Dec 29, 2015
Last updated
Dec 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R179857-3 MN Primary
Registered Nurse 163W00000X RN170179 AZ

Addresses

Primary practice location

1961 Premier Dr Ste 340
Mankato, MN 56001-6839

Mailing address

1961 Premier Dr Ste 340
Mankato, MN 56001-6839
Phone (507) 345-8591

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN170179AZMDRegistered Nurse
R179857-3MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Adara Home Health, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1255796793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 PREMIER DR STE 340",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016839",
            "telephone_number": "507-345-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 PREMIER DR STE 340",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016839",
            "telephone_number": "507-345-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMS",
        "first_name": "LEAH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R179857-3",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN170179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.