Janie Grantham-carlson, is a
Registered Nurse - School based in Shingle Springs, California. Janie Grantham-carlson is licensed to practice in California (license number 95-46221) and her current practice location is
3661 Ponderosa Rd, Shingle Springs, California. She can be reached at her office (for appointments etc.) via phone at
(530) 677-2281.
NPI number for Janie Grantham-carlson is 1215744206 and her current mailing address is 3661 Ponderosa Rd, Shingle Springs, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215744206.
Provider's Profile
Full Name | Janie Grantham-carlson |
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Gender | Female |
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Speciality | Registered Nurse - School |
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Location | 3661 Ponderosa Rd, Shingle Springs, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215744206
- Provider Enumeration Date: 12/13/2024
- Last Update Date: 12/13/2024
Medical Identifiers
Medical identifiers for Janie Grantham-carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215744206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WS0200X | Registered Nurse - School | 95-46221 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Janie Grantham-carlson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Janie Grantham-carlson, 3661 Ponderosa Rd, Shingle Springs, CA 95682-9460 Ph: (530) 677-2281 | Janie Grantham-carlson, 3661 Ponderosa Rd, Shingle Springs, CA 95682-9460 Ph: (530) 677-2281 |
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