Individual provider Active NPI

Cindy Granata

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1487437372
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
212623 Issued in LA
Practice address
8585 Picardy Ave Ste 310
Baton Rouge, LA 70809-3749
Phone
(225) 767-5479
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 212623 LA Primary

Addresses

Primary practice location

8585 Picardy Ave Ste 310
Baton Rouge, LA 70809-3749

Mailing address

8585 Picardy Ave Ste 310
Baton Rouge, LA 70809-3749
Phone (706) 304-2736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250514000751 LA Practitioner - Nurse Practitioner 5496273401 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jon V. Schellack, M.D. (a Professional Medical Corporation) CurrentSince Apr 23, 2025 Accepting new patients

Locations

8585 Picardy Ave
Ste 310
Baton Rouge, LA 70809
Phone (225) 767-5479

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1487437372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 PICARDY AVE STE 310",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093749",
            "telephone_number": "706-304-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 PICARDY AVE STE 310",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093749",
            "telephone_number": "225-767-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANATA",
        "first_name": "CINDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "212623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.