MS. TARA MARIE GRAVISS (NPI# 1487052007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487052007 |
| Entity Type | Individual |
| Full Name | MS. TARA MARIE GRAVISS |
| Credential | EXPRESSIVE ARTS |
| Practice Address |
4661 35th St San Diego CA 92116-3537 |
| Practice Telephone | 6199629853 |
| Mailing Telephone | 6199629853 |
| Enumeration Date | 2014-12-13 |
| Last Update Date | 2014-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
4661 35TH ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92116-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255859450 | Michael S Cohen | Acupuncturist | 1533 Monroe Ave, San Diego, CA 92116 | 2017-09-07 |
| 1013456052 | Scarlett O'hara | Speech-Language Pathologist | 4204a Adams Avenue, San Diego, CA 92116 | 2017-02-22 |
| 1780123174 | Elaine Oxina | Occupational Therapist | 4204 Adams Avenue A, Specialized Therapy Services, San Diego, CA 92116 | 2017-02-17 |
| 1699157321 | Candice Dumais | Occupational Therapist | 4522 1/2 Georgia St, San Diego, CA 92116 | 2015-06-18 |
| 1558643908 | Markus Steven Hill | Student in an Organized Health Care Education/Training Program | 4489 41st St, San Diego, CA 92116 | 2011-09-12 |
| 1457689309 | Nirit Shoshana Blocker | Physical Therapist | 4663 Iowa St Unit 5, San Diego, CA 92116 | 2009-12-03 |
| 1780830257 | Latrice Charlene Washington | Counselor | 3430 School St, San Diego, CA 92116 | 2008-08-15 |
| 1497901086 | Kathryn Eris Zangaro | Counselor | 3430 School St., San Diego, CA 92116 | 2008-08-14 |
| 1508012535 | Cyrus Satoafaiga | Counselor | 3430 School Street, San Diego, CA 92116 | 2008-08-11 |
| 1164692471 | Kimberly Hoover L.ac. | Acupuncturist | 2852 Adams Avenue, San Diego, CA 92116 | 2008-03-04 |
| Find all providers in zip 92116 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689215204 | Jacinto Verges IIi | Contractor | 2117 Bluebird St, San Diego, CA 92114-1502 | 2019-10-04 |
| 1992231633 | Michael Williams | Contractor | 8590 Production Ave, Suite B, San Diego, CA 92121-2281 | 2017-05-01 |
| 1083168983 | Mohamed Omar Yusuf | Contractor | 4252 Van Dyke Ave Apt 4, San Diego, CA 92105-1255 | 2016-08-09 |
| 1194184648 | David Troupin | Contractor | 2949 Garnet Ave, San Diego, CA 92109-3826 | 2016-02-12 |
| 1881062917 | Derlin Hsu | Contractor | 4663 Kansas St, Unit 10, San Diego, CA 92116-3223 | 2015-09-06 |
| 1316339211 | Del Sur Speech Therapy | Contractor | 8395 Katherine Claire Ln, San Diego, CA 92127-4107 | 2015-03-02 |
| 1437568094 | Celeste Conover | Contractor | 7455 Sean Taylor Ln, San Diego, CA 92126-6091 | 2014-08-07 |
| 1942627765 | Matthew Topper | Contractor | 2254 San Diego Ave, Suite 200, San Diego, CA 92110-2944 | 2014-03-19 |
| 1376967638 | Miramar Billing Solutions, Inc. | Contractor | 4203 Genesee Ave, #103, San Diego, CA 92117-4950 | 2014-02-06 |
| 1023391018 | Natalie Jeanne Horner | Contractor | 2355 Northside Dr, Suite 140, San Diego, CA 92108-2705 | 2011-09-26 |
| Find all providers in SAN DIEGO | ||||
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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.