Marsha Odessa Granville, R.N

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

613371-1 Issued in NY

Practice address

14042 172ND St
Jamaica, NY 11434-4624

Phone

(718) 807-5474

NPI assigned

Apr 9, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1609192194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14042 172ND ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344624",
            "telephone_number": "718-807-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14042 172ND ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344624",
            "telephone_number": "718-807-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANVILLE",
        "first_name": "MARSHA",
        "middle_name": "ODESSA",
        "name_prefix": "Miss",
        "credential": "R.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "613371-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Grant
• Jacqueline A Grant, RN
• Joan Jean Grant, RN
• Kevin Joseph Grant, D.D.S.
• Suzette Grant
• Stacey Rebbie Granville, LPN
• Katiuscia Gray, LCSW
• Mary D. Gray, NP-P
• Pauline P Gray
• Shalaine Gray

• Registered Nurse in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.