Individual provider Active NPI

Candace Shae Granger, BSN, RN

  • School Registered Nurse
  • Athens, TN
National Provider Identifier
1649980301
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
188302 Issued in TN
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

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
188302TNMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Ross McNabb Center CurrentSince Nov 2, 2023 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.

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.

Verify at the official NPI Registry.