Active NPI
Candace Shae Granger, BSN, RN
- School Registered Nurse
- Athens, TN
National Provider Identifier
1649980301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 188302
- Practice address
- 2336 Congress Pkwy S
Athens, TN 37303-2820 - Phone
- (423) 507-0887
- NPI assigned
- Dec 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 188302 | TN | Primary |
Addresses
Primary practice location
2336 Congress Pkwy S
Athens, TN 37303-2820
Mailing address
5914 Porter Dr
Harrison, TN 37341-9582
Phone (423) 509-3327
Other practice location 1
6049 Shallowford Rd
Chattanooga, TN 37421-1688
Phone (423) 266-6751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 188302 | TN | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helen Ross McNabb Center | Current | Accepting new patients | |
| Mental Health Centers & Clinics of Tennessee | Past | Accepting new patients |
Locations
2336 Congress Pkwy S
Athens, TN 37303
Phone (423) 507-0887
6049 Shallowford Rd
Chattanooga, TN 37421
Phone (423) 763-0101
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Knoxville, TN
- NPI 1659330686
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chattanooga, TN
- NPI 1790811149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1649980301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5914 PORTER DR",
"city": "HARRISON",
"state": "TN",
"postal_code": "373419582",
"telephone_number": "423-509-3327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2336 CONGRESS PKWY S",
"city": "ATHENS",
"state": "TN",
"postal_code": "373032820",
"telephone_number": "423-507-0887"
}
],
"practiceLocations": [
{
"address_1": "6049 Shallowford Rd",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374211688",
"country_code": "US",
"telephone_number": "423-266-6751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANGER",
"first_name": "CANDACE",
"middle_name": "SHAE",
"name_prefix": "Ms.",
"credential": "BSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-02",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "TN",
"license": "188302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.