KAYLA GROTRIAN (NPI# 1457983223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457983223 |
| Entity Type | Individual |
| Full Name | KAYLA GROTRIAN |
| Practice Address |
5440 Evard Rd Fort Wayne IN 46835-1796 |
| Practice Telephone | 2604099165 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| 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 |
| Street Address |
5440 EVARD RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46835-1796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760993810 | Longe Enterprises Corp | Eyewear Supplier (Equipment, not the service) | 5711 Ymca Park Dr East, Fort Wayne, IN 46835 | 2017-10-17 |
| 1801144464 | Tracey Gordon | Physical Therapy Assistant | 2827 Northgate Boulevard, Fort Wayne, IN 46835 | 2012-08-29 |
| 1316179682 | Janet L Daniel | Counselor | 310 E Dupont Road, Suite 2, Fort Wayne, IN 46835 | 2009-08-20 |
| 1083868863 | Nicholas Joseph Sullivan | Chiropractor | 8320 Chapel Bend Drive, Fort Wayne, IN 46835 | 2008-11-06 |
| 1497922090 | Michelle A Bailey | Registered Nurse | 6108 Maplecrest Road, Fort Wayne, IN 46835 | 2008-05-13 |
| 1073789954 | Charles Arthur Bolinger | Technician, Other | 4546 Maplecrest Rd, Ft Wayne, IN 46835 | 2008-05-01 |
| 1851469878 | Richard J Klaehn | Optometrist | 4536 Maplecrest Road, Ft. Wayne, IN 46835 | 2006-11-30 |
| 1639272339 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 6220 St Joseph Center Rd, Fort Wayne, IN 46835 | 2006-09-07 |
| 1275649014 | Adrienne Meyer | Pharmacist | 7909 Brixham Place, Fort Wayne, IN 46835 | 2006-08-22 |
| 1750378147 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4430 Elsdale Dr, Fort Wayne, IN 46835 | 2005-09-30 |
| Find all providers in zip 46835 | ||||
| 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 |
|---|---|---|---|---|
| 1962016931 | Grant Sylvester Olsen | Student in an Organized Health Care Education/Training Program | 3910 Newport Ave Apt 13, Fort Wayne, IN 46805-1383 | 2020-09-07 |
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1790394146 | Katie Patterson | Student in an Organized Health Care Education/Training Program | 2907 Westbrook Dr Apt 101, Fort Wayne, IN 46805-2055 | 2020-07-30 |
| 1891304689 | Alexi Nicole Seely | Student in an Organized Health Care Education/Training Program | 2423 Kenwood Ave, Fort Wayne, IN 46805-2755 | 2020-07-28 |
| 1659980365 | Laura Kraft | Student in an Organized Health Care Education/Training Program | 3822 Newport Ave Apt 2, Fort Wayne, IN 46805-1376 | 2020-07-28 |
| 1073145983 | Caelan Williams | Student in an Organized Health Care Education/Training Program | 6500 Saint Joe Rd Apt 116, Fort Wayne, IN 46835-1935 | 2020-02-08 |
| 1770131948 | Donzhae Lee | Student in an Organized Health Care Education/Training Program | 2510 Thompson Ave, Fort Wayne, IN 46807-1051 | 2019-08-30 |
| 1700440641 | Mary Danny Dickow | Student in an Organized Health Care Education/Training Program | 1804 Cymbeline Ct, Fort Wayne, IN 46818-9265 | 2019-04-25 |
| 1477086189 | Yogesh Jonna | Student in an Organized Health Care Education/Training Program | 3929 Heron Preserve Trl, Fort Wayne, IN 46814-7578 | 2017-04-10 |
| 1922547702 | Zin Than | Student in an Organized Health Care Education/Training Program | 833 Dantes Voyage Dr, Fort Wayne, IN 46845-2072 | 2017-02-14 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46835 |
Please comment or provide details below to improve the information on KAYLA GROTRIAN.
| 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.