MEAD SERRA


Address: 2808 North Ave Fl 3, Grand Junction, CO 81501-5155
Phone: 9702416023

MEAD SERRA (NPI# 1144700873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144700873
Entity Type Individual
Full Name MEAD SERRA
Practice Address 2808 North Ave Fl 3
Grand Junction
CO 81501-5155
Mailing Address 715 Horizon Dr Ste 225
Grand Junction
CO 81506-8743
Practice Telephone 9702416023
Practice Fax Number 9706837277
Enumeration Date 2018-08-21
Last Update Date 2018-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 2808 NORTH AVE FL 3
City GRAND JUNCTION
State CO
Zip Code 81501-5155

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902187800 Jana Carole Bauman Counselor 2808 North Ave Fl 3, Grand Junction, CO 81501-5155 2011-09-06
1912563693 Colorado West Regional Mental Health, Inc. Clinic/Center 2808 North Ave Fl 3, Grand Junction, CO 81501-5155 2019-05-17
1679038095 Sophia Octavia Abrams Peer Specialist 2808 North Ave Fl 3, Grand Junction, CO 81501-5155 2019-02-11
1699252098 Cameron John Macdonald Peer Specialist 2808 North Ave Fl 3, Grand Junction, CO 81501-5155 2018-07-27
1174000681 Ashley Michelle Hatch Peer Specialist 2808 North Ave Fl 3, Grand Junction, CO 81501-5155 2018-07-26
1316433956 Lini Mills Peer Specialist 2808 North Ave Fl 3, Grand Junction, CO 81501-5155 2018-07-06
1356833685 Joseph David Kuper Peer Specialist 2808 North Ave Fl 3, Grand Junction, CO 81501-5155 2018-06-01
1285124677 Jacqueline Suzanne Ehlers Peer Specialist 2808 North Ave Fl 3, Grand Junction, CO 81501-5155 2018-05-11
1033627831 Madison Kohls Student in an Organized Health Care Education/Training Program 2808 North Ave Fl 3, Grand Junction, CO 81501-5155 2018-01-15
1972021426 Sarah Marie Rogers Peer Specialist 2808 North Ave Fl 3, Grand Junction, CO 81501-5155 2017-09-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700430261 Brianne Tanae Harper Physician Assistant 2530 N 8th St Suite 205, Grand Junction, CO 81501 2019-08-01
1497318059 Shellen H Pinnt Counselor 660 White Avene, Grand Junction, CO 81501 2019-04-19
1477011658 Gaylene Ludwig Counselor 622 Rood Ave, Grand Junction, CO 81501 2019-03-07
1639676158 Chris De Bruin Counselor Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 2018-04-11
1568971125 Michael Sprague Counselor 1001 Wellington Avenue, Grand Junction, CO 81501 2017-09-27
1609393560 Karin Vandervelde Midwife 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 2017-08-23
1225550361 Critical Nurse Staffing, LLC Home Health 1114 N 1st St, Suite 200, Grand Junction, CO 81501 2017-07-11
1003344094 Mac Aarron Fish Counselor 622 Rood Ave Ste C, Grand Junction, CO 81501 2017-06-02
1467994566 A New Life Counseling, Inc Counselor 623 North 8th St, Grand Junction, CO 81501 2016-11-07
1801342597 Paragon Restoration & Building, Inc. Contractor 205 S. 15th St., Grand Junction, CO 81501 2016-09-01
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568079283 Jessica Adele Page Student in an Organized Health Care Education/Training Program 420 Broken Arrow Dr Unit A, Grand Junction, CO 81504-7635 2020-09-27
1679189831 Mita White Student in an Organized Health Care Education/Training Program 2413 Brandys Ct, Grand Junction, CO 81507-1631 2020-09-22
1578177119 Callen Marie Young Student in an Organized Health Care Education/Training Program 4 Merlot Ct, Grand Junction, CO 81507-1246 2020-09-01
1699389262 Blythe Crow Student in an Organized Health Care Education/Training Program 551 Grand Ave Ste 304, Grand Junction, CO 81501-2694 2020-09-01
1255945895 Emyleigh Opat Student in an Organized Health Care Education/Training Program 345 W Kennedy Ave Apt 12, Grand Junction, CO 81505-7192 2020-09-01
1245843085 Brenna Ann Sanislo Student in an Organized Health Care Education/Training Program 3230 Beechwood St, Grand Junction, CO 81506-4833 2020-08-30
1134732076 Keelin R Schaffrath Student in an Organized Health Care Education/Training Program 2753 Unaweep Ave, Grand Junction, CO 81503-2091 2020-08-29
1548873730 Danielle Storm Pelletier Student in an Organized Health Care Education/Training Program 2237 N 20th St, Grand Junction, CO 81501-6707 2020-08-26
1235759820 Dana Patton Student in an Organized Health Care Education/Training Program St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 2020-04-23
1336797117 Tiffany Dawn Petersen Student in an Organized Health Care Education/Training Program 2006 N 13th St, Grand Junction, CO 81501-8504 2019-08-26
Find all providers in GRAND JUNCTION

Competitor

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City GRAND JUNCTION
Zip Code 81501

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Dataset Information

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.

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