MS. KATHRYN GRANVILLE NP
NPI 1598743551
Nurse Practitioner - Pediatrics in Bridgeport, CT

Active since January 09, 2006
60 HOUSATONIC AVE, BRIDGEPORT, CT 06604(203) 579-6548(203) 579-3688 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Kathryn Granville Np NPPES

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

MS. KATHRYN GRANVILLE NP (NPI 1598743551) is an individual pediatrics provider in Bridgeport, Connecticut, licensed in Connecticut (001766) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1598743551
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. KATHRYN GRANVILLECredential: NP
Location Address60 HOUSATONIC AVEBridgeport, CT 06604-4026
Mailing Address60 Housatonic AveBridgeport, CT 06604-4026 · (203) 579-6548 · Fax (203) 579-3688
Fax(203) 579-3688
Sole ProprietorNo
Enumeration DateJanuary 9, 2006
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
✔ NPI 1598743551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CT · 001766
60 HOUSATONIC AVE, Bridgeport, CT 06604

Other Identifiers 2

Medicaid004235900CT
Other001766CT · License

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
60 HOUSATONIC AVE
BRIDGEPORT, CT 06604
Social Worker (Clinical)
60 HOUSATONIC AVE
BRIDGEPORT, CT 06604
Counselor (Professional)
60 HOUSATONIC AVE
BRIDGEPORT, CT 06604

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 Kathryn Granville's NPI number?

The NPI number for Kathryn Granville is 1598743551. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Kathryn Granville located?

Kathryn Granville practices at 60 Housatonic Ave, Bridgeport, CT 06604. The listed phone number is (203) 579-6548.

What is Kathryn Granville's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kathryn Granville was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.