MR. JERRY GRANT GRISWOLD II (NPI# 1003372657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003372657 |
| Entity Type | Individual |
| Full Name | MR. JERRY GRANT GRISWOLD II |
| Credential | NURSE'S AIDE |
| Practice Address |
2829 W 33rd Ave Denver CO 80211-3231 |
| Practice Telephone | 3034333944 |
| Practice Fax Number | 3034339717 |
| Mailing Telephone | 3034333944 |
| Mailing Fax Number | 3034339717 |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
2829 W 33RD AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80211-3231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043349533 | Clayton Smith | Counselor | 2829 W 33rd Ave, Denver, CO 80211-3231 | 2007-03-02 |
| 1669036364 | Natalia Derina | Nurse's Aide | 2829 W 33rd Ave, Denver, CO 80211-3231 | 2019-04-28 |
| 1326514134 | Jasmine Chanel Townsend | Nurse's Aide | 2829 W 33rd Ave, Denver, CO 80211-3231 | 2018-10-18 |
| 1326535550 | Ana Michelle Bullard | Peer Specialist | 2829 W 33rd Ave, Denver, CO 80211-3231 | 2018-04-13 |
| 1972971588 | Heather Moruzzi | Nurse's Aide | 2829 W 33rd Ave, Denver, CO 80211-3231 | 2015-09-14 |
| 1063805141 | Robin O'brien | Peer Specialist | 2829 W 33rd Ave, Park Place, Denver, CO 80211-3231 | 2015-03-12 |
| 1992197719 | Rachael Richmeier | Licensed Practical Nurse | 2829 W 33rd Ave, Denver, CO 80211-3231 | 2015-03-03 |
| 1275966228 | Alexandra Garcia | Licensed Practical Nurse | 2829 W 33rd Ave, Denver, CO 80211-3231 | 2013-08-14 |
| 1144652272 | Archie Wayne Dalton | Behavioral Analyst | 2829 W 33rd Ave, Denver, CO 80211-3231 | 2013-07-31 |
| 1588956874 | Samuel Granados | Community Health Worker | 2829 W 33rd Ave, Denver, CO 80211-3231 | 2011-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818869 | Naomi Victoria Akwei-esterline | Community/Behavioral Health | 2640 W 26th Ave, Suite 217, Denver, CO 80211 | 2020-07-16 |
| 1073095436 | Kelsey Briana Vincent | Marriage & Family Therapist | 2855 Speer Blvd, Denver, CO 80211 | 2018-09-02 |
| 1669968806 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 2490 W 26th Ave Ste 200, Denver, CO 80211 | 2018-07-10 |
| 1578061420 | Colorado Foot and Ankle Research Institute | Podiatrist | 3438 Federal Blvd, Denver, CO 80211 | 2018-01-25 |
| 1437668670 | Timothy Daniel Conwell | Chiropractor | 4444 Umatilla St., Denver, CO 80211 | 2017-09-20 |
| 1609390632 | 38th Modern Dental Practice, LLC | Dentist | 3550 W 38th Ave., #5, Denver, CO 80211 | 2017-08-01 |
| 1063951473 | Samuel Hawkins | Counselor | 2560 W. 29th, Denver, CO 80211 | 2017-02-17 |
| 1972045011 | Margaret Reynolds | Counselor | 2727 Bryant St Ste 510, Denver, CO 80211 | 2016-11-07 |
| 1508312141 | Kim Johnson | Counselor | 2460 W 26th Ave Denver, Denver, CO 80211 | 2016-09-01 |
| 1154877470 | Sara Galan | Counselor | 2405 W. 26th Ave, Denver, CO 80211 | 2016-08-28 |
| Find all providers in zip 80211 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518364710 | Ryan Moir Tixier | Peer Specialist | 901 Sherman St, Apt 322, Denver, CO 80203-2916 | 2014-12-03 |
| 1770113060 | Daniel Reichwein | Peer Specialist | 4141 E Dickenson Pl, Denver, CO 80222-6012 | 2020-01-25 |
| 1548804644 | Sonia Rhodes | Peer Specialist | 456 Bannock St, Denver, CO 80204-5126 | 2019-10-31 |
| 1164065306 | Emily Marie Pocock | Peer Specialist | 4141 E Dickenson Pl, Denver, CO 80222-6012 | 2019-10-21 |
| 1629619333 | Jody Gamel | Peer Specialist | 777 Bannock St, Denver, CO 80204-4597 | 2019-10-03 |
| 1154981835 | Sara Alexandra Bray | Peer Specialist | 456 Bannock St, Denver, CO 80204-5126 | 2019-06-16 |
| 1770142952 | Grady Scott Ainsworth | Peer Specialist | 4455 E 12th Ave, Denver, CO 80220-2415 | 2019-06-11 |
| 1912466962 | Doug James Comiskey | Peer Specialist | 1601 S Federal Blvd, Denver, CO 80219-4837 | 2019-03-19 |
| 1023574928 | Candy Rountree | Peer Specialist | 1075 Galapago St, Denver, CO 80204-3942 | 2019-02-15 |
| 1225509045 | John N Raiche | Peer Specialist | 1648 Gaylord St, Denver, CO 80206-1239 | 2018-12-06 |
| Find all providers in DENVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.