LAUREN CHYANN GRANTHAM FNP NPI 1104419142

NPI Information

  • NPI: 1104419142
  • Provider Name: LAUREN CHYANN GRANTHAM, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2451 UNIVERSITY HOSPITAL DRIVE
    MASTIN 101
    MOBILE, AL
    ZIP 36617
  • Phone: (251) 445-8282

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NPI Details

Lauren Chyann Grantham, FNP is a family nurse practitioner in Mobile, AL. Lauren Chyann Grantham, FNP NPI is 1104419142. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2451 UNIVERSITY HOSPITAL DRIVE
MASTIN 101
MOBILE, AL
ZIP 36617-300
Phone: (251) 445-8282
Fax: (251) 445-8281

The NPI 1104419142 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Critical care, each additional 30 minutes (HCPCS:99292)

The enumeration date for this NPI number is 2/19/2021 and was last updated on 4/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily1-184292ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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