GRANT SMITH (NPI# 1124582457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124582457 |
| Entity Type | Individual |
| Full Name | GRANT SMITH |
| Practice Address |
1107 S Providence Rd Columbia MO 65211-0001 |
| Mailing Address |
1828 Marigold Ct Chanhassen MN 55317-4545 |
| Practice Telephone | 4073763135 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518523752 | Grant M Smith | Chiropractor | 4161 S Verbena St, Denver, CO 80237-1747 | 2019-05-14 |
| 1447403472 | Grant A Smith | Acupuncturist | 41 Sutter St, #1750, San Francisco, CA 94104-4905 | 2008-11-04 |
| 1356472716 | Grant Meredith Smith | Dentist | 56 Bear Dr, Greenville, SC 29605 | 2007-03-08 |
| 1740347160 | Grant Kendall Smith | Chiropractor | 715 Belrose Ave, Daphne, AL 36526-4514 | 2007-01-03 |
| 1871660423 | Grant Patrick Smith | Chiropractor | 11673 N Saguaro Blvd, Fountain Hills, AZ 85268 | 2006-11-29 |
| 1073508529 | Grant Andrew Smith | Denturist | 2743 River Rd, Eugene, OR 97404-2047 | 2005-09-12 |
| 1275016289 | Grant Edward Smith | Physical Therapist | 650 Huebner Rd, Fort Riley, KS 66442-4030 | 2018-09-14 |
| 1760981690 | Grant Edward Smith | Chiropractor | 13925 Northwest Blvd, Corpus Christi, TX 78410-5118 | 2018-02-06 |
| 1427583806 | Grant Clifford Smith | Physical Therapist | 2850 Holcomb Bridge Rd, Ste 140a, Alpharetta, GA 30022-1660 | 2017-04-24 |
| 1659824258 | Grant Edward Smith | Dentist | 2011 W Lamberth Rd, Sherman, TX 75092-2318 | 2016-07-31 |
| Street Address |
1107 S PROVIDENCE RD |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65211-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316401649 | Leah Kirby Jasinski | Specialist/Technologist | 1107 S Providence Rd, Columbia, MO 65211-0001 | 2019-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023510724 | Alison Mosel | Specialist/Technologist | University of Missouri - Columbia, 1 Champions Drive, Columbia, MO 65211 | 2018-03-08 |
| 1033629589 | Jessica Crane | Pharmacist | 911 E Rollins St., Room 1207 Mizzou Pharmacy, Columbia, MO 65211 | 2017-10-10 |
| 1720178239 | Charles Michael Borduin | Psychologist | 211 S. 8th Street, Psychological Services Clinic University of Missouri, Columbia, MO 65211 | 2006-10-13 |
| 1760434096 | Deborah Marie Wright | Psychologist | Mu Assessment and Consultation Clinic, 205 Lewis Hall, Columbia, MO 65211 | 2006-05-16 |
| 1982185195 | Kyle Hamilton | Behavior Technician | 205 Portland St., Columbia, MO 65211 | 2018-08-25 |
| 1609051804 | Guy Louis Mccormack | Occupational Therapist | 300 Portland St, Suite 110 Thompson Center, Columbia, MO 65211 | 2008-01-07 |
| 1740894427 | Shraddha Niphadkar | Psychologist | 406 South 6th Street 119 Parker Hall, Columbia, MO 65211-0001 | 2020-09-01 |
| 1629638986 | Karl Osterman | Specialist/Technologist | 100 Missouri Athletics Training Complex Sports Medicine, Columbia, MO 65211-0001 | 2019-06-19 |
| 1588222541 | Nicholas Philpot | Specialist/Technologist | 213 Rothwell Gymnasium, Columbia, MO 65211-0001 | 2019-06-04 |
| 1740749340 | Greta Katherine Runge | Specialist/Technologist | 600 E Stadium, Columbia, MO 65211-0001 | 2019-03-14 |
| Find all providers in zip 65211 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891313292 | Zachary Blake Riggs | Student in an Organized Health Care Education/Training Program | 2025 Gervais St Unit 321c, Columbia, SC 29204-1803 | 2020-07-12 |
| 1144848797 | Katrina Marie Linenko | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 3707c, Columbia, SC 29201-5622 | 2020-07-10 |
| 1790303402 | Kaitlyn Michele Pierce | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 1905c, Columbia, SC 29201-5607 | 2020-07-09 |
| 1316565211 | Erin Maureen Bryant | Student in an Organized Health Care Education/Training Program | 811 Polo Rd Apt 517, Columbia, SC 29223-4426 | 2020-07-08 |
| 1265050132 | Leona Joyce Keller | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 901, Columbia, SC 29201-5194 | 2020-07-08 |
| 1922626720 | Brett William Elder | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 3707, Columbia, SC 29201-5622 | 2020-07-08 |
| 1245858174 | Regina Duncan | Student in an Organized Health Care Education/Training Program | 1539 S Kilbourne Rd, Columbia, SC 29205-4708 | 2020-07-07 |
| 1972126043 | Sydney Allsbrook Funderburk | Student in an Organized Health Care Education/Training Program | 6401 Cloverdale Dr, Columbia, SC 29209-1840 | 2020-05-24 |
| 1841812591 | Chasitie Ann Mcintosh | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia South Carolina 29208, Columbia, SC 29208-0001 | 2020-05-15 |
| 1053933267 | Allyson Derrick | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia, Columbia, SC 29208-0001 | 2020-05-11 |
| Find all providers in COLUMBIA | ||||
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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.