Vonda Gail Granger, MS, OTR

Primary specialty

SpecialistTaxonomy code 174400000X

License

31001025A Issued in IN

Practice address

4701 N Keystone Ave
Indianapolis, IN 46205-1554

Phone

(317) 722-8200

NPI assigned

Jun 13, 2007

Last updated

Apr 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Visiting Nurse Service Inc

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1023207693
  NPD (past)
• Visiting Nurse Service, Inc.

  • Community Based Hospice Care Agency
  • Indianapolis, IN
  • NPI 1811021744
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1275737330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 TYBALT DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545163",
            "telephone_number": "317-388-8095",
            "fax_number": "317-388-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N KEYSTONE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051554",
            "telephone_number": "317-722-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "VONDA",
        "middle_name": "GAIL",
        "name_prefix": "Miss",
        "credential": "MS, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "31001025A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori J Grandy, OTR
• Brian D Graner, M.D.
• Amy M. Granger, MA
• Danny R Granger
• Lauren Elizabeth Granger, M.D.
• Travis John Granich, MSW
• Adam Grannan, DPT
• Alexandra Grannan
• Suzanne M Grannan, MD
• Sharron Probert Grannis, M.D.

• Specialist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.