Active NPI
Robert Don Carlos Granger, RN
- Registered Nurse
- Sells, AZ
National Provider Identifier
1790084705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN155331
- Practice address
- Hwy 86 and Topawa Rd
Sells, AZ 85634 - Phone
- (520) 383-7200
- NPI assigned
- Mar 17, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN155331 | AZ | Primary |
Addresses
Primary practice location
Hwy 86 and Topawa Rd
Sells, AZ 85634
Mailing address
7900 S J Stock Rd
Tucson, AZ 85746-7012
Phone (520) 295-2550
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 |
|---|---|---|---|
| RN155331 | AZ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300320000000",
"number": "1790084705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7900 S J STOCK RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857467012",
"telephone_number": "520-295-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HWY 86 AND TOPAWA RD",
"city": "SELLS",
"state": "AZ",
"postal_code": "85634",
"telephone_number": "520-383-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANGER",
"first_name": "ROBERT",
"middle_name": "DON CARLOS",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-17",
"last_updated": "2011-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN155331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sells, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.