Wanda Jean Grant, REGISTERED NURSE

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

348078 Issued in CA

Practice address

117 N B St
Lompoc, CA 93436-6901

Phone

(805) 681-5100

NPI assigned

May 1, 2019

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

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1740845122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43036 30TH ST W APT 131",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935364773",
            "telephone_number": "661-481-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N B ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366901",
            "telephone_number": "805-681-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "WANDA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "348078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Samaritan Shelter, Inc.
• Joseph Emmett Gossner Jr., LCSW
• Kathie N Gracyk
• Paula Grand-Place, LMFT
• Courtney Grant
• Lindsey Sara Grattarola
• Keeley Nicole Graybehl, PPSC
• Jennie Greene
• Steven Zachary Greene
• Howard John Gregersen, M.D.

• Psychiatric/Mental Health Registered Nurse in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.