Individual provider Active NPI

Jenna Laura Granahan, RN

  • Registered Nurse
  • Chesterfield, MO
National Provider Identifier
1487572236
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2018022981 Issued in MO
Practice address
121 Saint Lukes Center Dr Ste 303
Chesterfield, MO 63017-3519
Phone
(314) 434-3278
Fax
(314) 590-5949
NPI assigned
Jul 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2018022981 MO Primary

Addresses

Primary practice location

121 Saint Lukes Center Dr Ste 303
Chesterfield, MO 63017-3519

Mailing address

121 Saint Lukes Center Dr Ste 303
Chesterfield, MO 63017-3519
Phone (314) 434-3278

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": "1783468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1487572236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SAINT LUKES CENTER DR STE 303",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173519",
            "telephone_number": "314-434-3278",
            "fax_number": "314-590-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SAINT LUKES CENTER DR STE 303",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173519",
            "telephone_number": "314-434-3278",
            "fax_number": "314-590-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANAHAN",
        "first_name": "JENNA LAURA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2018022981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.