Beverly Granda

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

374645 Issued in CA

Practice address

2536 Lafayette Dr
Davis, CA 95618-1548

Phone

(510) 866-9699

NPI assigned

Apr 2, 2008

Last updated

Apr 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1366615064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 LAFAYETTE DR",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956181548",
            "telephone_number": "510-866-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 LAFAYETTE DR",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956181548",
            "telephone_number": "510-866-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDA",
        "first_name": "BEVERLY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "374645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Grabow, PH.D.
• Sandra Jeanne Grabow, MSW
• Marissa Gracia
• Amita Lute Graham, CNM, WHNP
• Wyatt Matthew Graham, MD
• Susan Kathleen Grant, MFT
• Caroline Jennifer Grantz, PH.D.
• Auron Kyser Gray
• Doreen Rachele Greb
• Amy Marie Green

• Case Management Registered Nurse in Davis, CA
• Providers in Davis, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.