Nara Granja Ingram

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

51328 Issued in TN

Practice address

1601 23Rd Ave South
Suite 3057
Nashville, TN 37212-3139

Phone

(615) 327-7000

NPI assigned

Apr 16, 2010

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

Other names 1

• Nara Valeschka Matos Granja Ingram Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1336465251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 23RD AVE SOUTH",
            "address_2": "SUITE 3057",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 23RD AVE SOUTH",
            "address_2": "SUITE 3057",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123139",
            "telephone_number": "615-327-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANJA INGRAM",
        "first_name": "NARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "51328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NARA",
            "last_name": "GRANJA INGRAM",
            "middle_name": "VALESCHKA MATOS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Isabella Cristina Gramiccioni
• Latisha Ronell Granberry, FNP
• Arielle B Grand, M.D.
• Jacob Grand, MD
• Sandra Michelle Granito, NP
• Mary Jane Grannis
• Latai Ebrette Grant Brown, MD
• Alisa Diane Grant I
• Brian Thomas Grant, CMSW
• Brianna D Grant, LCSW

• Psychiatry Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.