Individual provider Active NPI

Treasa Ann Grangier, FNP

  • Family Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1821340506
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71004202A Issued in IN
Practice address
2916 Peach Blossom Dr Ste 101
Jeffersonville, IN 47130-8380
Phone
(812) 590-1600
Fax
(812) 590-6561
NPI assigned
Oct 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 28154339A IN
Family Nurse Practitioner 363LF0000X 71004202A IN Primary

Addresses

Primary practice location

2916 Peach Blossom Dr Ste 101
Jeffersonville, IN 47130-8380

Mailing address

1165 Hidden Meadows CT
Scottsburg, IN 47170-8714
Phone (812) 752-9122

Other practice location 1

1165 Hidden Meadows Ct
Scottsburg, IN 47170-8714
Phone (812) 595-2073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121210000321 IN Practitioner - Nurse Practitioner 8022260561 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28154339AINMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthcare Consultants LLC CurrentSince Sep 16, 2020 Accepting new patients
Scott Memorial Hospital Past Accepting new patients

Locations

2916 Peach Blossom Dr
Ste 101
Jeffersonvlle, IN 47130
Phone (502) 544-7186

Interoperability endpoints

  • Direct secure messaging: treasa.grangier.1@13302.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1821340506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 HIDDEN MEADOWS CT",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471708714",
            "telephone_number": "812-752-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 PEACH BLOSSOM DR STE 101",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308380",
            "telephone_number": "812-590-1600",
            "fax_number": "812-590-6561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1165 Hidden Meadows Ct",
            "address_purpose": "LOCATION",
            "city": "Scottsburg",
            "state": "IN",
            "postal_code": "471708714",
            "country_code": "US",
            "telephone_number": "812-595-2073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANGIER",
        "first_name": "TREASA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "IN",
            "license": "28154339A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004202A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.