MRS. KRISTEN MARIE GRIDER (NPI# 1083938120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083938120 |
| Entity Type | Individual |
| Full Name | MRS. KRISTEN MARIE GRIDER |
| Other Name | KRISTEN MARIE TEPLY |
| Credential | PA-C |
| Practice Address |
1621 W 1st St Sanford FL 32771-1617 |
| Mailing Address |
4586 Whimbrel Pl Winter Park FL 32792-6358 |
| Practice Telephone | 4073224431 |
| Practice Fax Number | 4073224448 |
| Mailing Telephone | 4075796066 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2011-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9105216 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770761512 | Kristen Grider | Occupational Therapist | 4080 N Milwaukee Ave, Chicago, IL 60641-1831 | 2008-02-04 |
| Street Address |
1621 W 1ST ST |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801801501 | Sanford Medical Group, Pa | Internal Medicine | 1621 W 1st St, Sanford, FL 32771-1617 | 2006-07-30 |
| 1326054396 | Vinay Chandra Srivastava | Internal Medicine | 1621 W 1st St, Sanford, FL 32772-0848 | 2006-07-31 |
| 1104832062 | Sangita Mohan | Internal Medicine | 1621 W 1st St, Sanford, FL 32771-1617 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487024329 | Erik T Huffman | Physician Assistant | 2919 Beechtree Dr Ste 1100, Sanford, NC 27330-6934 | 2015-10-05 |
| 1619576360 | Elizabeth Parsons | Physician Assistant | 2702 Farrell Rd, Sanford, NC 27330-6505 | 2020-10-23 |
| 1053838326 | Jessica L Sinclair | Physician Assistant | 2609 S Horner Blvd, Sanford, NC 27332-8865 | 2017-08-27 |
| 1003275611 | Lindsay M Fox | Physician Assistant | 117 Dennis Drive, Sanford, NC 27330-6343 | 2016-02-11 |
| 1841612900 | Margaret Elaine Kelley | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2014-01-09 |
| 1073854659 | Anna Renee Knowles | Physician Assistant | 1139 Carthage St, Suite 101, Sanford, NC 27330-4111 | 2013-03-07 |
| 1679869366 | Mary Candace Seagle | Physician Assistant | 827 S Horner Blvd, Sanford, NC 27330-5342 | 2011-06-22 |
| 1659683167 | Britney Kline Smithmyer | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2010-07-13 |
| 1194950030 | Jennifer Wheeler | Physician Assistant | 1401 W Seminole Blvd, Central Florida Regional Hospital, Sanford, FL 32771-6743 | 2009-05-21 |
| 1144475781 | Nicole A Brzezinski | Physician Assistant | 25 June St, Sanford, ME 04073-2621 | 2008-11-24 |
| Find all providers in SANFORD | ||||
Please comment or provide details below to improve the information on MRS. KRISTEN MARIE GRIDER.
| 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.