Individual provider Active NPI

Dayna Granston, RN, RXN, CNS, APRN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Boulder, CO
National Provider Identifier
1639199235
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
RXN-0001430-CNS Issued in CO
Practice address
1634 Walnut St Ste 201
Boulder, CO 80302-5400
Phone
(303) 818-8263
Fax
(844) 272-1680
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 91024 CO
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X RXN-0001430-CNS CO Primary

Addresses

Primary practice location

1634 Walnut St Ste 201
Boulder, CO 80302-5400

Mailing address

910 Hawthorn Ave
Boulder, CO 80304-2144
Phone (303) 443-9634

Other practice location 1

1333 Iris Avenue
Boulder, CO 80304-2296
Phone (720) 406-3698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2016 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Registered Nurse

State licenses

LicenseStateTypeSpecialty
91024COMDRegistered Nurse
RXN-0001430-CNSCOMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639199235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 HAWTHORN AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042144",
            "telephone_number": "303-443-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 WALNUT ST STE 201",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025400",
            "telephone_number": "303-818-8263",
            "fax_number": "844-272-1680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Iris Avenue",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803042296",
            "country_code": "US",
            "telephone_number": "720-406-3698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANSTON",
        "first_name": "DAYNA",
        "credential": "RN, RXN, CNS, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "91024",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CO",
            "license": "RXN-0001430-CNS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.