DR. FAITH E GRZESIK (NPI# 1528495090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528495090 |
| Entity Type | Individual |
| Full Name | DR. FAITH E GRZESIK |
| Credential | DNP, PMHNP-BC |
| Practice Address |
6600 Van Aalst Blvd Bldg 9250 Fort Benning GA 31905 |
| Mailing Address |
6600 Van Aalst Blvd Bldg 9250 Fort Benning GA 31905-2102 |
| Practice Telephone | 7624084061 |
| Mailing Telephone | 7624084061 |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2018-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1157339 | KY | Nursing Service Providers |
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
041335347 | IL | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3012549 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| EPIDN | 108135830 | 01 |
| Street Address |
6600 VAN AALST BLVD BLDG 9250 |
| City | FORT BENNING |
| State | GA |
| Zip Code | 31905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194730846 | Martin Army Community Hospital | Clinic/Center | 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 | 2006-07-30 |
| 1407479371 | Michael Thomas Dolan Jr. | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 | 2020-05-26 |
| 1619599305 | Benjamin Lampe | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 | 2020-05-15 |
| 1326660077 | Paige Williams | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 | 2020-05-15 |
| 1821610940 | Jamison Frost Tate | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 | 2020-05-12 |
| 1902425333 | Preston Michael Anderson | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 | 2020-04-15 |
| 1407415961 | Kyle Christopher Warren | Military Health Care Provider | 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 | 2019-06-10 |
| 1225697782 | Ryan Zimmerman | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 | 2019-06-10 |
| 1225697774 | Matthew Patrick Stewart | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 | 2019-06-09 |
| 1285293795 | Patrick Campbell | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 | 2019-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741366 | Micah Elizabeth Lajoie | Specialist/Technologist | 7148 2nd Cavalry Street, Ft. Benning, GA 31905 | 2020-05-11 |
| 1598301384 | Tiffany Nicole Wolfe | Physical Therapist | 7446 Sightseeing Road, Bldg 2515, Ft Benning, GA 31905 | 2019-11-27 |
| 1790261022 | Kyle Joseph Burkardt | Dentist | Love Dental Clinic, 7101 Hoff St, Bldg 9240, Apo, AA 31905 | 2018-07-19 |
| 1821514449 | Rebekah Schott | Dentist | 7101 Hoff St., Fort Benning, GA 31905 | 2017-08-15 |
| 1043757677 | Karen Tolliver | Dental Hygienist | 7770 Sightseeing Rd, Bldg 2828, Fort Benning, GA 31905 | 2017-01-20 |
| 1356897953 | Katelyn Dolezal | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd, Bldg 9250, Fort Benning, GA 31905 | 2016-09-01 |
| 1043663636 | Vicky J. Nehl | Dental Hygienist | 11th Abn Div Rd, Bldg 3255, Fort Benning, GA 31905 | 2016-07-19 |
| 1376992719 | Xenia Key | Dental Assistant | 7770 Sightseeing Road, Bernheim Dental Clinic, Fort Benning, GA 31905 | 2016-06-07 |
| 1588013189 | Barbara Parker | Dental Assistant | 2828 Sightseeing Rd, Fort Benning, GA 31905 | 2016-06-06 |
| 1568811255 | Tavonna Ashley | Dental Hygienist | 7107 Hoff Street, Apo, AA 31905 | 2016-06-03 |
| Find all providers in zip 31905 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740398 | Audline Maria Hodnett | Nurse Practitioner | 4805 W Village Way Se Apt 2208, Smyrna, GA 30080-9227 | 2020-11-05 |
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1356958060 | Earl Delk | Nurse Practitioner | 3365 Ridgerock Way, Snellville, GA 30078-4176 | 2020-09-26 |
| 1609482991 | Tammy Haskins Bailey | Nurse Practitioner | 196 Laying Farm Rd Se, Milledgeville, GA 31061-9714 | 2020-09-22 |
| 1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
| 1376156364 | Katrina Ransom Clark | Nurse Practitioner | 120 Walker Dr Nw, Milledgeville, GA 31061-9561 | 2020-08-28 |
| 1457963746 | Evelyn Ahiante Dennis | Nurse Practitioner | 3325 Emden Ct, Snellville, GA 30039-6047 | 2020-08-19 |
| 1194335620 | Jennifer Logan | Nurse Practitioner | 424 Scotts Way, Augusta, GA 30909-3135 | 2020-08-10 |
| 1750991592 | Jamie Rae Mccracken | Nurse Practitioner | 2538 Gordon Cir Se, Smyrna, GA 30080-8123 | 2020-08-06 |
| 1285244608 | Amcare Substance Abuse and Addiction Counseling | Nurse Practitioner | 3615 Hutchinson Rd Ste 203, Cumming, GA 30040-0501 | 2020-08-01 |
| Find all providers with the same taxonomy | ||||
| City | FORT BENNING |
| Zip Code | 31905 |
Please comment or provide details below to improve the information on DR. FAITH E GRZESIK.
| 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.