MARIONETTE YARBROUGH (NPI# 1528463486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528463486 |
| Entity Type | Individual |
| Full Name | MARIONETTE YARBROUGH |
| Credential | PT |
| Practice Address |
960 Avent Dr Grenada MS 38901-5230 |
| Mailing Address |
1340 Whippoorwill Cv Grenada MS 38901-4070 |
| Practice Telephone | 6622277769 |
| Mailing Telephone | 6622277769 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PT1188 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
960 AVENT DR |
| City | GRENADA |
| State | MS |
| Zip Code | 38901-5230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386644789 | Grenada Lake Medical Center | General Acute Care Hospital | 960 Avent Dr, Grenada, MS 38901-5230 | 2005-07-28 |
| 1003431602 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-06-10 |
| 1356961320 | Angelina Guilambo | Physical Therapist | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-04-20 |
| 1841822152 | Shelby Helen Phelon Jackson | Nurse Practitioner | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-02-05 |
| 1194388082 | Grenada Emergency Group, LLC | Physician Assistant | 960 Avent Dr, Grenada, MS 38901-5230 | 2019-04-17 |
| 1932762721 | Grenada Physician Services, LLC | Nurse Practitioner | 960 Avent Dr, Grenada, MS 38901-5230 | 2019-04-17 |
| 1013489319 | Kelsey Marter Moncrief | Nurse Practitioner | 960 Avent Dr, Grenada, MS 38901-5230 | 2018-12-26 |
| 1760908321 | Linda Gail Carter | Nurse Practitioner | 960 Avent Dr, Grenada, MS 38901-5230 | 2017-08-16 |
| 1720419583 | State of Mississippi-university of Mississippi Medical Center | General Acute Care Hospital | 960 Avent Dr, Grenada, MS 38901-5230 | 2013-12-04 |
| 1639500499 | State of Mississippi-university of Mississippi Medical Center | Durable Medical Equipment & Medical Supplies | 960 Avent Dr, Grenada, MS 38901-5230 | 2013-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902435118 | The Mane Physician | Prosthetic/Orthotic Supplier | 94 Spain Drive, Grenada, MS 38901 | 2020-04-08 |
| 1942842166 | Sylvia C Bass | Technician | 813 Union Street, Grenada, MS 38901 | 2019-10-09 |
| 1669971180 | Jenny Taylor | Nurse Practitioner | 350 Sunset Drive, Grenada, MS 38901 | 2018-02-10 |
| 1073912762 | John Thomas Mcree I | Counselor | 2026 Commerce St Ste 8e, Grenada, MS 38901 | 2014-08-19 |
| 1700213634 | State of Mississippi-university of Mississippi Medical Center | Home Health | 960 Avent Drive, Grenada, MS 38901 | 2013-10-10 |
| 1114359866 | Cmhp Enterprises | Dentist | 1420 Wooded Drive, Grenada, MS 38901 | 2013-08-05 |
| 1518256460 | Mercy Hospice LLC | Hospice Care, Community Based | 1410 Wooded Drive, Grenada, MS 38901 | 2011-03-31 |
| 1215256318 | Della Lea Welsh | Speech-Language Pathologist | 1321 Dd Sunset Dr., Grenada, MS 38901 | 2010-05-28 |
| 1750514543 | Family Health Care Clinic, Inc. | Clinic/Center | 1102 Telegraph St, Grenada, MS 38901 | 2009-08-27 |
| 1033384771 | Jason K Bennett | Pharmacist | 140 Shadow Wood Cv, Grenada, MS 38901 | 2008-04-24 |
| Find all providers in zip 38901 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336496363 | Lea Marie Campbell | Physical Therapist | 5 Chandeluer Cv, Ocean Springs, MS 39564-5045 | 2012-08-09 |
| 1730416678 | Virginia Claire Kolvites | Physical Therapist | 135 Pinehills Dr, Hattiesburg, MS 39402-3317 | 2009-11-13 |
| 1083105969 | Kelly Coker Dabbs | Physical Therapist | 1215 Earl Frye Blvd, Amory, MS 38821 | 2018-05-25 |
| 1912377797 | Margaret Shrader | Physical Therapist | 5411 I 55 N, Jackson, MS 39206-3616 | 2015-10-06 |
| 1063805240 | Mark Orson Harris | Physical Therapist | 15476a Dedeaux Rd, Gulfport, MS 39503-2637 | 2015-03-11 |
| 1972927341 | Steven Burch | Physical Therapist | 514 Bay St, Hattiesburg, MS 39401-3933 | 2014-02-05 |
| 1417398942 | Sarah Anne Schroeder | Physical Therapist | 100 La Rosa Rd Ste A, Long Beach, MS 39560-4000 | 2013-07-12 |
| 1609127083 | Rehabilitation Consultants | Physical Therapist | 820 Cooper Rd Ste J, Jackson, MS 39212-4099 | 2012-09-26 |
| 1568595908 | Spring Kimberly Walters | Physical Therapist | 1220 Jefferson St, Laurel, MS 39440-4355 | 2007-03-14 |
| 1790894996 | Mary Love Mcinnis | Physical Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2006-08-30 |
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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.