Colleen Grall, R.N.

Primary specialty

Occupational Health Registered NurseTaxonomy code 163WX0106X

License

RN00047382 Issued in WA

Practice address

9915 Sandifur Pkwy
Pasco, WA 99301-8941

Phone

(509) 546-2222

Fax

(509) 546-2202

NPI assigned

May 21, 2007

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

• Colleen Grall Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376752022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 KLICKITAT LN",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993016816",
            "telephone_number": "509-544-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9915 SANDIFUR PKWY",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018941",
            "telephone_number": "509-546-2222",
            "fax_number": "509-546-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRALL",
        "first_name": "COLLEEN",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "WA",
            "license": "RN00047382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "GRALL",
            "credential": "R.N.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Occupational Health Registered Nurse in Pasco, WA
• Providers in Pasco, WA by specialty
• Occupational Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.