Active NPI
Terius Grandison
- Athletic Trainer
- Waynesboro, VA
National Provider Identifier
1407320211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 357 Windigrove Dr Apt 1126
Waynesboro, VA 22980-7600 - Phone
- (540) 742-0856
- NPI assigned
- Jan 15, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
357 Windigrove Dr Apt 1126
Waynesboro, VA 22980-7600
Mailing address
357 Windigrove Dr Apt 1126
Waynesboro, VA 22980-7600
Phone (540) 742-0856
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1407320211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 WINDIGROVE DR APT 1126",
"city": "WAYNESBORO",
"state": "VA",
"postal_code": "229807600",
"telephone_number": "540-742-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 WINDIGROVE DR APT 1126",
"city": "WAYNESBORO",
"state": "VA",
"postal_code": "229807600",
"telephone_number": "540-742-0856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANDISON",
"first_name": "TERIUS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-15",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waynesboro, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.