Mandy Grainger, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

0001267550 Issued in VA

Practice address

11817 Canon Blvd Ste 300
Newport News, VA 23606-4516

Phone

(757) 595-8005

Fax

(757) 595-9131

NPI assigned

Oct 3, 2022

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1811611890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11817 CANON BLVD STE 300",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064516",
            "telephone_number": "757-595-8005",
            "fax_number": "757-595-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11817 CANON BLVD STE 300",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064516",
            "telephone_number": "757-595-8005",
            "fax_number": "757-595-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAINGER",
        "first_name": "MANDY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "VA",
            "license": "0001267550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iesha Graham
• Leroy Graham Jr., MD
• Loretta Prosser Graham, D.D.S.
• Stacy Graham
• Theoni S Graham, M.S.
• Britani Grandison
• Gary William Grant, RPH
• James Herman Grant
• Elizabeth Dianne Gray, COTA/L
• Frances Vivian Berscak Gray, PA

• Community Health Registered Nurse in Newport News, VA
• Providers in Newport News, VA by specialty
• Community Health Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.