Active NPI
Marla Ellen Grantham, R.N
- Case Management Registered Nurse
- Nashville, TN
National Provider Identifier
1710126123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- RN0000149967
- Practice address
- 311 23Rd Ave N
Nashville, TN 37203-1503 - Phone
- (615) 340-0415
- Fax
- (615) 340-7789
- NPI assigned
- Feb 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN0000149967 | TN | Primary |
Addresses
Primary practice location
311 23Rd Ave N
Nashville, TN 37203-1503
Mailing address
311 23Rd Ave N
Nashville, TN 37203-1503
Phone (615) 340-0415
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000149967 | TN | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234137600000",
"number": "1710126123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 23RD AVE N",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031503",
"telephone_number": "615-340-0415",
"fax_number": "615-340-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 23RD AVE N",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031503",
"telephone_number": "615-340-0415",
"fax_number": "615-340-7789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANTHAM",
"first_name": "MARLA",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "R.N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-09",
"last_updated": "2009-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "TN",
"license": "RN0000149967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.