Individual provider Active NPI

Christine A.J. Granfield, MD

  • Diagnostic Radiology Physician
  • Jacksonville, FL
National Provider Identifier
1952361313
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME64140 Issued in FL
Practice address
4463 Worth Dr E
Jacksonville, FL 32207-7503
Phone
(904) 535-3608
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X ME64140 FL
Neuroradiology Physician 2085N0700X ME64140 FL
Nuclear Radiology Physician 2085N0904X ME64140 FL
Pediatric Radiology Physician 2085P0229X ME64140 FL
Vascular & Interventional Radiology Physician 2085R0204X ME64140 FL
Diagnostic Ultrasound Physician 2085U0001X ME64140 FL
Diagnostic Radiology Physician 2085R0202X ME64140 FL Primary

Addresses

Primary practice location

4463 Worth Dr E
Jacksonville, FL 32207-7503

Mailing address

4463 Worth Dr E
Jacksonville, FL 32207-7503
Phone (904) 535-3608

Other identifiers 3

IdentifierTypeStateIssuer
373380700MedicaidFL
00557356AMedicaidGA
18834OtherFLBCBS

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME64140FLMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Services of Jacksonville LLC Diagnostic Radiology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christine.granfield.1@16002.direct.athenahealth.com

Organizations & group practices 1

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1952361313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4463 WORTH DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322077503",
            "telephone_number": "904-535-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4463 WORTH DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322077503",
            "telephone_number": "904-535-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANFIELD",
        "first_name": "CHRISTINE",
        "middle_name": "A.J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "FL",
            "license": "ME64140",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME64140",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "FL",
            "license": "ME64140",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "FL",
            "license": "ME64140",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME64140",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "FL",
            "license": "ME64140",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME64140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373380700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00557356A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18834",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.