Norma P Grandberry, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

1501 Westchester St
Clovis, NM 88101-4638

Phone

(757) 286-4505

NPI assigned

Dec 21, 2010

Last updated

Dec 21, 2010By the provider in NPPES

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

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1740583350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WESTCHESTER ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014638",
            "telephone_number": "757-286-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 WESTCHESTER ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014638",
            "telephone_number": "757-286-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDBERRY",
        "first_name": "NORMA",
        "middle_name": "P",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Carmen Gonzalez
• Abigail Odessa Gordon, BSN, RN
• Kelly M Gore, BMS
• Eljin Jon Gorman, MS LAT ATC
• Lucy B Gotora, PMHNP
• Oliva Granillo
• Sydni Nicole Grau
• Mary Ellen Gray
• Tammy Marie Green, BSN
• Danielle N Griego, CF-SLP

• Independent Duty Medical Technicians in Clovis, NM
• Providers in Clovis, NM by specialty
• Independent Duty Medical Technicians in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.