Active NPI
Amy Joelle Granquist, CRNA
- Certified Registered Nurse Anesthetist
- Leeds, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2315447
- Practice address
- 591 Kennedy Rd
Leeds, MA 01053-9756 - Phone
- (215) 833-9338
- NPI assigned
- Feb 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN535352 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | RN535352 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 2315447 | MA | Primary |
Addresses
Primary practice location
591 Kennedy Rd
Leeds, MA 01053-9756
Mailing address
PO Box 423
Leeds, MA 01053-0423
Phone (215) 833-9338
Other practice location 1
7701 Burholme Ave
Philadelphia, PA 19111-2437
Phone (215) 214-1429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN535352 | Other | PA | RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
725 N St
Pittsfield, MA 01201-4109
Phone (413) 447-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2315447 | MA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Adams Regional Hospital Corporation | Current | Accepting new patients | |
| Berkshire Medical Center, Inc | Current | Accepting new patients | |
| Springfield Anesthesia Service, Inc. | Current | Accepting new patients | |
| Berkshire Medical Center Inc. | Current | Accepting new patients | |
| North Adams Regional Hospital Corporation | Current | Accepting new patients | |
| Holyoke Medical Center, Inc. | Current | Accepting new patients | |
| Holyoke Medical Center, Inc. | Current | Accepting new patients | |
| Health Services of Fox Chase Cancer Center | Past | Accepting new patients | |
| Health Services of Fox Chase Cancer Center | Past | Accepting new patients | |
| Umass Memorial Medical Group Inc | Past | Accepting new patients |
Locations
164 High St
Greenfield, MA 01301
Phone (413) 772-0211
575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570
71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
908 Allen St
Springfield, MA 01118
Phone (413) 732-5139
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
- Anesthesiology Physician
- Holyoke, MA
- NPI 1992923486
-
- Critical Access Hospital
- North Adams, MA
- NPI 1316727761
-
- Critical Access Hospital
- North Adams, MA
- NPI 1437839669
-
- Anesthesiology Physician
- Springfield, MA
- NPI 1093768830
-
- Community/Retail Pharmacy
- North Adams, MA
- NPI 1932649753
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1750395737
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- Dermatology Physician
- Philadelphia, PA
- NPI 1144338351
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1568564821
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1821267675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 423",
"city": "LEEDS",
"state": "MA",
"postal_code": "010530423",
"telephone_number": "215-833-9338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "591 KENNEDY RD",
"city": "LEEDS",
"state": "MA",
"postal_code": "010539756",
"telephone_number": "215-833-9338"
}
],
"practiceLocations": [
{
"address_1": "7701 Burholme Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191112437",
"country_code": "US",
"telephone_number": "215-214-1429",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANQUIST",
"first_name": "AMY",
"middle_name": "JOELLE",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-26",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN535352",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN535352",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "2315447",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN535352",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leeds, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.