KENISHA QUIANA GRANDISON (NPI# 1285161075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285161075 |
| Entity Type | Individual |
| Full Name | KENISHA QUIANA GRANDISON |
| Credential | NP |
| Practice Address |
5841 S Maryland Ave # Mc2115 Chicago IL 60637-1447 |
| Practice Telephone | 7738340475 |
| Practice Fax Number | 7737534525 |
| Mailing Telephone | 7738340475 |
| Mailing Fax Number | 7737534525 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2020-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209015880 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5841 S MARYLAND AVE # MC2115 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326211160 | Cara Ann Rosenbaum | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1447 | 2008-04-11 |
| 1043811672 | Alexis Small | Physician Assistant | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 | 2020-11-02 |
| 1689212169 | Jamie Elizabeth Mathews | Nurse Practitioner | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 | 2019-12-16 |
| 1366960759 | Nina Pagaduan | Nurse Practitioner | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 | 2017-09-06 |
| 1194245514 | Koosha Paydary | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 | 2017-06-27 |
| 1982136214 | Vishesh Kothary | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 | 2017-03-27 |
| 1548791437 | Dario Martin Villamar | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 | 2017-03-23 |
| 1336502731 | Ajay Major | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 | 2016-04-01 |
| 1750778924 | Carolina Soto Chervin | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637 | 2015-04-24 |
| 1669861449 | Michael Joseph Breen | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1443 | 2015-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1881291706 | Rita Elue | Nurse Practitioner | 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 | 2020-10-04 |
| 1558976514 | Janice Nicole Kinney | Nurse Practitioner | 10127 S Harding Ave, Chicago, IL 60655-3748 | 2020-09-15 |
| 1881209278 | Monique Graves | Nurse Practitioner | 4912 W Adams St Apt 2, Chicago, IL 60644-4445 | 2020-09-11 |
| 1194339721 | Maureen Iyesogie Diji | Nurse Practitioner | 4658 S Ellis Ave, Chicago, IL 60653-3625 | 2020-09-01 |
| 1669085395 | Emily Calderon | Nurse Practitioner | 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 | 2020-08-24 |
| Find all providers in CHICAGO | ||||
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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.