SIARRA GRACE CRUM (NPI# 1487255642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487255642 |
| Entity Type | Individual |
| Full Name | SIARRA GRACE CRUM |
| Practice Address |
102 Bellwood Lane Portage PA 15946-1441 |
| Practice Telephone | 8146196120 |
| Mailing Telephone | 8146196120 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 102 Bellwood Lane, Portage, PA 15946 |
| Street Address |
102 BELLWOOD LANE |
| City | PORTAGE |
| State | PA |
| Zip Code | 15946-1441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127989 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 800 High Street, Portage, PA 15946 | 2019-07-25 |
| 1649824947 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 700 Meade Street, Portage, PA 15946 | 2019-07-25 |
| 1770601247 | Marcie A. Kovalsky | Speech-Language Pathologist | 514 Orchard Street, Portage, PA 15946 | 2007-03-26 |
| 1790849875 | Donald E Nagy | Dentist | 716 Cambria St, Portage, PA 15946 | 2006-12-21 |
| 1649383951 | Conemaugh Health Initiatives | Family Medicine | 3670 Portage Street, Johnstown, PA 15946 | 2006-08-17 |
| 1851397707 | Maple Winds Care Center Co. LLC | Skilled Nursing Facility | 4112 Springhill Road, Portage, PA 15946 | 2005-06-24 |
| 1952436503 | Portage Area Ambulance Association | Ambulance | 655 North Railroad Ave, Portage, PA 15946-0237 | 2007-02-23 |
| 1942860556 | Ryan Thomas Scoran | Physical Therapist | 900 Orange Ave Ste 1, Portage, PA 15946-1103 | 2019-06-17 |
| 1598852402 | Joshua Thomas Madison | Physical Therapist | 900 Orange Ave, Suite 1, Portage, PA 15946-1103 | 2006-10-10 |
| 1245671189 | Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | 900 Orange Ave, Suite 1, Portage, PA 15946-1103 | 2013-07-08 |
| Find all providers in zip 15946 | ||||
| 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 |
|---|---|---|---|---|
| 1083221345 | Katelynn Ann Millard | Student in an Organized Health Care Education/Training Program | 3710 Tartan Cir, Portage, MI 49024-4094 | 2020-09-29 |
| 1851927792 | Courtney Marie Finnearty | Student in an Organized Health Care Education/Training Program | 2867 Edgewood St, Portage, IN 46368-2772 | 2020-03-22 |
| 1235634171 | Marvee Turk | Student in an Organized Health Care Education/Training Program | 9124 E Shore Dr, Portage, MI 49002-6607 | 2018-03-23 |
| 1457885873 | Brian Hart | Student in an Organized Health Care Education/Training Program | 225 Gunderson Dr, Portage, WI 53901-3430 | 2017-04-12 |
| 1063946440 | Mitchell Seubert | Student in an Organized Health Care Education/Training Program | 260 W Cook St, Portage, WI 53901-2106 | 2017-04-12 |
| 1386010338 | Amy Sasinowski | Student in an Organized Health Care Education/Training Program | 7855 Currier Dr, Portage, MI 49002-4314 | 2015-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1356942825 | Aisha Ghauri | Student in an Organized Health Care Education/Training Program | 645 Springhouse Ln, Hummelstown, PA 17036-7009 | 2020-11-02 |
| 1891395828 | Roopali Mahajan | Student in an Organized Health Care Education/Training Program | 4101 Spruce St Apt 108, Philadelphia, PA 19104-4059 | 2020-10-28 |
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1093313157 | Betty M Beimel | Student in an Organized Health Care Education/Training Program | 5966 Route 66, Kane, PA 16735-3434 | 2020-10-12 |
| 1104432616 | Zach Quince | Student in an Organized Health Care Education/Training Program | 370 Birch St, Imperial, PA 15126-1158 | 2020-09-20 |
| 1073129862 | Philip Andrus | Student in an Organized Health Care Education/Training Program | 3420 Forbes Ave Fl 2, Pittsburgh, PA 15213-3203 | 2020-09-17 |
| 1992310049 | Rachana Amin | Student in an Organized Health Care Education/Training Program | 12 Fitzgerald Dr, Moosic, PA 18507-2105 | 2020-09-14 |
| 1992310767 | Natasha Ann Parrish | Student in an Organized Health Care Education/Training Program | Millersville University, School of Social Work, Strayer, 37 W. Frederick Street, Millersville, PA 17551 | 2020-09-09 |
| 1205440138 | Beth Ann Wagner | Student in an Organized Health Care Education/Training Program | 1444 E Main St, Douglassville, PA 19518-9116 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
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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.