Active NPI
Janette Lee Grigg, FNP-C
- Nurse Practitioner
- Covina, CA
National Provider Identifier
1326305418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP21728
- Practice address
- 540 S Eremland Dr
Covina, CA 91723-3186 - Phone
- (626) 966-1577
- Fax
- (626) 535-9387
- NPI assigned
- Apr 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP21728 | CA | Primary |
| Nurse Practitioner | 363L00000X | NP21827 | CA |
Addresses
Primary practice location
540 S Eremland Dr
Covina, CA 91723-3186
Mailing address
1229 Flanders Rd
La Canada, CA 91011-2222
Phone (508) 264-5224
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
| License | State | Type | Specialty |
|---|---|---|---|
| NP21728 | CA | MD | Nurse Practitioner |
| NP21827 | CA | MD | Nurse Practitioner |
Interoperability endpoints
- janettegrigg@scnc.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1326305418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 FLANDERS RD",
"city": "LA CANADA",
"state": "CA",
"postal_code": "910112222",
"telephone_number": "508-264-5224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 S EREMLAND DR",
"city": "COVINA",
"state": "CA",
"postal_code": "917233186",
"telephone_number": "626-966-1577",
"fax_number": "626-535-9387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGG",
"first_name": "JANETTE",
"middle_name": "LEE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-13",
"last_updated": "2024-05-29",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP21728",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP21827",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.