Kelly Grigoryan, APRN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95015011 Issued in CA

Practice address

5025 J St Ste 206
Sacramento, CA 95819-3839

Phone

(916) 668-7164

NPI assigned

Nov 21, 2020

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Albert Z. Owens, M.D., P.C.

  • Primary Care Clinic/Center
  • Sacramento, CA
  • NPI 1275717985
  NPD (past)

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1639772528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 STOWE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958646058",
            "telephone_number": "978-866-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 J ST STE 206",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193839",
            "telephone_number": "916-668-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGORYAN",
        "first_name": "KELLY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95015011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Renae Griggs
• Madison Griggs
• Shirley Ann Griggs
• Tawni Nethalee Griggs
• Laura Miriam Grigor, MD
• Breeana Grigsby
• Jazzmin Grigsby
• Monique Portia Grigsby
• Richmond Grigsby
• Stephen Grilley

• Nurse Practitioner in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.