Lavern Grandison

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

3409469900497E Issued in NY

Practice address

24 Jackson Ave
Elmont, NY 11003-4202

Phone

(516) 424-9388

NPI assigned

Nov 10, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1619340825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 JACKSON AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034202",
            "telephone_number": "516-424-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 JACKSON AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034202",
            "telephone_number": "516-424-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDISON",
        "first_name": "LAVERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "3409469900497E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christha Gourdet
• Graceful Speech, LLC
• Gilda Graff, PSYCHOANALYST
• Marian Graham
• Pearl Joyce Graham, ANP
• Anika Grant, LPN
• Fitzclaud Grant, M.D.
• Philecia H Grant, FNP
• Simone Natalie Grant, RN
• Dilcia M. Granville, LMSW

• Registered Nurse in Elmont, NY
• Providers in Elmont, 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 Nov 10, 2015; 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.