Dixie Wheeler Granzella, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP142253 Issued in TX

Practice address

2604 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238

Phone

(252) 638-4023

Fax

(252) 633-2088

NPI assigned

Aug 5, 2019

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)

Enrolled

State licenses

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1619522844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 W VIRGINIA CIR",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783636913",
            "telephone_number": "361-720-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 DR MARTIN LUTHER KING JR BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285624238",
            "telephone_number": "252-638-4023",
            "fax_number": "252-633-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANZELLA",
        "first_name": "DIXIE",
        "middle_name": "WHEELER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Rae Graham, NP
• Kent L Graham, MA, LPC, LCAS, CCS
• Alia Zyatta Grant, LCSW
• Sherrie Grant
• Thomas R Grant, MD
• April L Graves, FNP-C
• Adam Clarke Gray
• Jan Meeks Gray, DPT
• Jenna Gray
• Michelle Wensing Graziosi, L.P.A.

• Family Nurse Practitioner in New Bern, NC
• Providers in New Bern, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.