LAURA GRACE MANIMTIM (NPI# 1144885807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144885807 |
| Entity Type | Individual |
| Full Name | LAURA GRACE MANIMTIM |
| Practice Address |
4176 Chittenden Cir Riverside CA 92509-6867 |
| Practice Telephone | 8316765562 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
5060 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
4176 CHITTENDEN CIR |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92509-6867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720530744 | Leesette De Santiago | Dental Assistant | 6130 Camino Real #12, Riverside, CA 92509 | 2016-10-25 |
| 1043646383 | Andy R Moreno | Counselor | 7790 Big Rock Dr., Riverside, CA 92509 | 2013-09-18 |
| 1275845018 | Myra Agnes Harrison | Pharmacist | 8015 Limonete, Rite Aid, Riverside, CA 92509 | 2010-07-09 |
| 1740424415 | Lin Chew Ota | Obstetrics & Gynecology | 6250 Clay Street, Riverside, CA 92509 | 2009-04-27 |
| 1164660106 | Ramona Jean Carver | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Riverside, CA 92509 | 2009-01-29 |
| 1568627925 | Lisa Anne Razo | Marriage & Family Therapist | 6580 45th St, Riverside, CA 92509 | 2008-07-25 |
| 1215106810 | Xia L. Liu Professional Dentl Corp | Dentist | 8880 Limonite Ave, Pedley, CA 92509 | 2008-02-27 |
| 1467658385 | Riverside County Rubidoux Pharmacy | Pharmacy | 5256 Mission Ave, Rubidoux, CA 92509 | 2007-06-26 |
| 1366644429 | Cynthia Stover | Physician Assistant | 5256 Mission Boulevard, Riverside, CA 92509 | 2007-06-01 |
| 1942327499 | Sober Living By The Sea, Inc | Substance Abuse Rehabilitation Facility | 6690 Limonite Frontage Rd, Riverside, CA 92509 | 2007-03-22 |
| Find all providers in zip 92509 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513904 | Jenifer G Camargo | Specialist/Technologist | 11284 Mountain Ave, Riverside, CA 92505-2633 | 2020-09-16 |
| 1922634344 | Melissa Gonzalez | Specialist/Technologist | 6096 Riverside Ave Apt 23, Riverside, CA 92506-2110 | 2020-03-17 |
| 1417582040 | Erica Wentworth | Specialist/Technologist | 2673 Mangrove Way, Riverside, CA 92506-5127 | 2020-03-04 |
| 1598395915 | Emy Pauline Totemeier | Specialist/Technologist | 5200 Chicago Ave Apt E10, Riverside, CA 92507-5871 | 2020-01-24 |
| 1306496633 | Janethe Ramos | Specialist/Technologist | 4310 Langston Pl, Riverside, CA 92507-5050 | 2019-09-18 |
| 1568928539 | Erika Graham | Specialist/Technologist | 8123 Magnolia Ave Apt 47, Riverside, CA 92504-3464 | 2019-02-14 |
| 1790266260 | Mayra Cano | Specialist/Technologist | 10039 Omar St, Riverside, CA 92503-4117 | 2018-08-23 |
| 1386139947 | Emily Gwendolyn Grace Done | Specialist/Technologist | 8584 De Loss Dr, Riverside, CA 92508-2539 | 2018-06-26 |
| 1962990853 | Melinda Lee Loreto | Specialist/Technologist | 4405 Gilchrist Dr, Riverside, CA 92505-9100 | 2018-04-25 |
| 1154834810 | Amanda Diane Nowling | Specialist/Technologist | 6360 Riverside Ave, Riverside, CA 92506-3154 | 2017-11-15 |
| Find all providers in RIVERSIDE | ||||
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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.