DYLAN GRIEVE (NPI# 1114412376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114412376 |
| Entity Type | Individual |
| Full Name | DYLAN GRIEVE |
| Practice Address |
2225 Challenger Way Santa Rosa CA 95407-5441 |
| Mailing Address |
59 Switzerland Rd Lewiston ME 04240-5161 |
| Practice Telephone | 7075768181 |
| Mailing Telephone | 7737121126 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
95146187 | CA | Nursing Service Providers |
| Street Address |
2225 CHALLENGER WAY |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-5441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154399723 | Lisa Ann Moran | Psychiatry & Neurology | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2006-03-09 |
| 1851904510 | Jessica Lopez | Technician/Technologist | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2020-08-24 |
| 1730798273 | Jenny Phung | Counselor | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2020-07-30 |
| 1891319455 | Maria S Baron | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2020-05-29 |
| 1639790439 | Beatrice Muthoni Nganga | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2020-05-03 |
| 1528693363 | Erica Adele Hartman | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2020-03-11 |
| 1336772540 | Jillian Leach | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2020-02-16 |
| 1932763596 | Monica Kidd | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2019-04-29 |
| 1255898524 | Carol Lynn Galipo | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2019-02-22 |
| 1063977460 | Gardner Carlson | Licensed Psychiatric Technician | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2019-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790439 | Beatrice Muthoni Nganga | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2020-05-03 |
| 1811542186 | Andrea Marie Ladow-kenny | Registered Nurse | 2227 Capricorn Way Ste 207, Santa Rosa, CA 95407-5486 | 2019-08-05 |
| 1932763596 | Monica Kidd | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2019-04-29 |
| 1730646746 | Lisa Ballantyne | Registered Nurse | 2245 Challenger Way, Santa Rosa, CA 95407-5418 | 2019-02-26 |
| 1104328814 | Toni Word | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2018-03-08 |
| 1174025076 | Jamell Baxter | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2018-03-06 |
| 1750890703 | Patricia Aileen Francis | Registered Nurse | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-09-21 |
| 1447774591 | Sarah Katherine Johnson | Registered Nurse | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2017-07-31 |
| 1417485509 | Shawnna Marie Fox | Registered Nurse | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2017-06-01 |
| 1912457326 | Robert Eric Acuna | Registered Nurse | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2016-10-10 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
Please comment or provide details below to improve the information on DYLAN GRIEVE.
| 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.