1. Home
  2. Directory
  3. Washington
  4. Lacey
  5. Registered Nurse
  6. NPI Profile

JODY RUDRUD GRANDORFF
NPI 1104679455
Registered Nurse in Lacey, WA

Active since April 08, 2024
4200 6TH AVE SE, SUITE 201, LACEY, WA 98503(360) 459-8311 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jody Rudrud Grandorff NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JODY RUDRUD GRANDORFF (NPI 1104679455) is an individual registered nurse in Lacey, Washington, licensed in Washington (RN00080230) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1104679455
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameJODY RUDRUD GRANDORFF
Location Address4200 6TH AVE SE, SUITE 201Lacey, WA 98503-1042
Mailing Address4200 6th Ave Se, Suite 201Lacey, WA 98503-1042 · (360) 459-8311
Phone(360) 459-8311
Sole ProprietorNo
Enumeration DateApril 8, 2024
NPPES CertifiedApril 8, 2024
✔ NPI 1104679455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in WA · RN00080230
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
4200 6TH AVE SE, Lacey, WA 98503
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LANICE SAMPSON-HALL
Registered Nurse
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503
Thurston County (360) 459-8311
ABIGAIL NAMOCATCAT
Physical Therapist
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503
Thurston County (360) 459-8311
NICOLE J HUGHES
Registered Nurse
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503
Thurston County (360) 459-8311
DAVID SHANE BRODSKY
Physical Therapy Assistant
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503
Thurston County (360) 459-8311
PROVIDENCE HEALTH & SERVICES WASHINGTON
Home Health
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503
Thurston County (360) 459-8311
NAOMI MWANGI
Licensed Practical Nurse
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503
Thurston County (360) 459-8311
JUDITH HICKMANN
Physical Therapy Assistant
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503
Thurston County (360) 459-8311
REBECCA BRIANNE BRITO
Occupational Therapist
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503
Thurston County (360) 459-8311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jody Rudrud Grandorff's NPI number?

The NPI number for Jody Rudrud Grandorff is 1104679455. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Jody Rudrud Grandorff located?

Jody Rudrud Grandorff practices at 4200 6th Ave SE Suite 201, Lacey, WA 98503. The listed phone number is (360) 459-8311.

What is Jody Rudrud Grandorff's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Jody Rudrud Grandorff was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.