ALEXA BLAIRE GRAND (NPI# 1093228520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093228520 |
| Entity Type | Individual |
| Full Name | ALEXA BLAIRE GRAND |
| Other Name | ALEXA BLAIRE VESSELL |
| Credential | PA-C |
| Practice Address |
500 S 52nd St Rogers AR 72758-8600 |
| Practice Telephone | 4792549662 |
| Practice Fax Number | 8067015845 |
| Mailing Telephone | 4792549662 |
| Mailing Fax Number | 4792549662 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-922 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 S 52ND ST |
| City | ROGERS |
| State | AR |
| Zip Code | 72758-8600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497749428 | Scarlet Denise Travis | Nurse Practitioner | 500 S 52nd St, Rogers, AR 72758-8600 | 2005-09-06 |
| 1831573468 | Rebecca S Luther | Nurse Practitioner | 500 S 52nd St, Rogers, AR 72758-8600 | 2015-07-14 |
| 1588067375 | Natalie Steinhoff | Dermatology | 500 S 52nd St, Rogers, AR 72758-8600 | 2014-10-07 |
| 1811304009 | Michael Alan Garone Jr. | Dermatology | 500 S 52nd St, Rogers, AR 72758-8600 | 2014-07-19 |
| 1578835534 | Kendall Lauren Key | Physician Assistant | 500 S 52nd St, Rogers, AR 72758-8600 | 2012-02-06 |
| 1407082464 | Hull Dermatology P.a. | Clinic/Center | 500 S 52nd St, Rogers, AR 72758-8600 | 2009-06-04 |
| 1124081849 | Cheryl Ann Hull | Dermatology | 500 S 52nd St, Rogers, AR 72758-8600 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707151 | Brianna Young | Physician Assistant | 903 N Raven Rd, Rogers, AR 72756-1941 | 2020-03-30 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1104209915 | Kindle Diane Simon | Physician Assistant | 1000 S. 52nd St, Rogers, AR 72758-8610 | 2015-06-30 |
| 1699154567 | Jessica Weller | Physician Assistant | 2708 S Rife Medical Ln Ste 210, Rogers, AR 72758-1456 | 2015-05-26 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1275738403 | Nicole M Clements | Physician Assistant | 1355 Rogers Drive, Rogers, MN 55374 | 2007-06-18 |
| 1740234426 | Lynn M Youngner | Physician Assistant | 13688 Rogers Dr, Rogers, MN 55374-4916 | 2006-05-19 |
| 1205434719 | Aaron Bradley Mullen | Physician Assistant | 199 N 34th St, Rogers, AR 72756-0304 | 2020-10-16 |
| 1053919563 | Alexis Mikayla Jones | Physician Assistant | 199 N 34th St, Rogers, AR 72756-0304 | 2020-10-16 |
| 1962000471 | Anthony Kyle Maddox | Physician Assistant | 199 N 34th St, Rogers, AR 72756-0304 | 2020-10-16 |
| Find all providers in ROGERS | ||||
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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.