Geraldine L. C. Grant, BOC 10400

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

1 Jarrett White Rd
Orthopedic Brace Clinic
Tripler Army Medical Center, HI 96859-5001

Phone

(808) 433-6967

NPI assigned

Nov 21, 2011

Last updated

Nov 21, 2011By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1427325398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "address_2": "ORTHOPEDIC BRACE CLINIC",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "address_2": "ORTHOPEDIC BRACE CLINIC",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "GERALDINE",
        "middle_name": "L. C.",
        "name_prefix": "Mrs.",
        "credential": "BOC 10400",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION/ACCREDITATION, INTERNATIONAL",
            "identifier": "10400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Francis Gould, DO
• Kenneth Lee Gowdy, M.D.
• Nalani Tavia Grace, PSY.D., CSAC
• Jimmy C Grandinette, MD
• Vernon Joseph Granier Jr.
• Amanda Gravett, DNP, CNM
• Devon Greer
• Eric Gonzague Gresham, MD
• Jennifer Leigh Griesel, M.D.
• Jaclyn Marie Griffin, NP

• Other Technician in Tripler Army Medical Center, HI
• Providers in Tripler Army Medical Center, HI by specialty
• Other Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.