Active NPI
Linda S. Grayson
- Licensed Vocational Nurse
- Visalia, CA
National Provider Identifier
1396271102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN122141
- Practice address
- 3941 W Ceres Ave
Visalia, CA 93291-8455 - Phone
- (559) 361-4507
- NPI assigned
- May 11, 2017
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN122141 | CA | Primary |
Addresses
Primary practice location
3941 W Ceres Ave
Visalia, CA 93291-8455
Mailing address
3941 W Ceres Ave
Visalia, CA 93291-8455
Phone (559) 361-4507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VN122141 | Other | CA | LVN |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VN122141 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1396271102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3941 W CERES AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932918455",
"telephone_number": "559-361-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3941 W CERES AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932918455",
"telephone_number": "559-361-4507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYSON",
"first_name": "LINDA",
"middle_name": "S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN122141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LVN",
"identifier": "VN122141",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.