Active NPIIndividual provider

Joan Granitsas, CRNP

Pediatrics in Revere, Massachusetts

NPI Number1215934070
Practice location
280 Beach St, Revere, MA 02151-3143
Fax
781-289-4485
Last updated
July 13, 2026

Joan Granitsas is a Pediatrics based in Revere, MA. Joan Granitsas practices in Revere, MA and has the professional credentials of CRNP. The NPI Number for Joan Granitsas is 1215934070 and holds a License No. 214641 (MA). The current practice location address for Joan Granitsas is 280 Beach St, Revere, MA 02151-3143 and can be reached out via phone at 781-289-5057 and via fax at 781-289-4485.

Provider Profile Details

NPI Number
1215934070
Provider Name
Joan Granitsas
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
280 Beach St, Revere, MA 02151-3143
Phone Number
781-289-5057
Fax Number
781-289-4485
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
July 7, 2005
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
280 Beach St
Revere, MA 02151-3143
City
Revere
Zip
02151-3143
Phone Number
781-289-5057
Fax Number
781-289-4485
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
280 Beach St
Revere, MA 02151-3143
City
Revere
State
MA
Zip
02151-3143
Phone Number
781-289-5057
Fax Number
781-289-4485

License Information

License Number
214641
License State
MA
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Joan Granitsas, CRNP?

The NPI number of Joan Granitsas, CRNP is 1215934070. It was assigned on July 7, 2005 and is currently active in the NPPES registry.

What is the specialty of Joan Granitsas, CRNP?

Joan Granitsas, CRNP is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 214641.

Where does Joan Granitsas, CRNP practice?

The practice location is 280 Beach St, Revere, MA 02151-3143. The office can be reached at 781-289-5057 (phone) or 781-289-4485 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215934070 directly on the NPPES registry website.

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