Active NPI
Lorraine Windridge Granfield, CRNA
- Certified Registered Nurse Anesthetist
- Moscow, ID
National Provider Identifier
1386656007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP2568052
- Practice address
- 2709 Robinson Park Rd
Moscow, ID 83843-5022 - Phone
- (772) 285-3457
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP2568052 | FL | Primary |
Addresses
Primary practice location
2709 Robinson Park Rd
Moscow, ID 83843-5022
Mailing address
2709 Robinson Park Rd
Moscow, ID 83843-5022
Phone (772) 285-3457
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G2912 | Other | FL | BCBS OF FLORIDA |
| 3079228-00 | Medicaid | FL | |
| 430065561 | Other | FL | RR MEDICARE |
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
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP2568052 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin County Anesthesia Group PL | Past | Accepting new patients | |
| Lakeside Anesthesia Services | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Sandpoint, ID
- NPI 1265666598
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Stuart, FL
- NPI 1487606075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1386656007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2709 ROBINSON PARK RD",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838435022",
"telephone_number": "772-285-3457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2709 ROBINSON PARK RD",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838435022",
"telephone_number": "772-285-3457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANFIELD",
"first_name": "LORRAINE",
"middle_name": "WINDRIDGE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP2568052",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "G2912",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3079228-00",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "430065561",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.