MOLLY ELLIOTT MEADOWS GRUNDY (NPI# 1538795604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538795604 |
| Entity Type | Individual |
| Full Name | MOLLY ELLIOTT MEADOWS GRUNDY |
| Credential | ACCNS |
| Practice Address |
1701 S Creasy Ln Lafayette IN 47905-4972 |
| Mailing Address |
600 W Main St Crawfordsville IN 47933-1626 |
| Practice Telephone | 7654283448 |
| Mailing Telephone | 7659181154 |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SC0200X |
Clinical Nurse Specialist Specialization: Critical Care Medicine |
28187462A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1701 S CREASY LN |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-4972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497756563 | Douglas W Rookstool | Internal Medicine | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2005-08-10 |
| 1730787029 | Angela Strawmyer-grever | Nurse Practitioner | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2020-10-09 |
| 1619590338 | Katelyn Jane Haver | Physician Assistant | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2020-05-28 |
| 1912520420 | Tosha Mosby | Occupational Therapist | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2020-05-19 |
| 1538780747 | Betty Ann Demko | Registered Nurse | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2020-04-28 |
| 1073148219 | Stacy Ann Bible | Pharmacist | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2020-03-09 |
| 1295371805 | Kelsey Clair Haas | Physician Assistant | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2019-11-19 |
| 1811559800 | Colton James Saroff | Physician Assistant | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2019-07-01 |
| 1275193518 | Rebecca Gray | Occupational Therapist | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2019-06-18 |
| 1467913996 | Erica Nicole Geisler | Physical Medicine & Rehabilitation | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2019-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 364SC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891359139 | Vincent William Holly | Clinical Nurse Specialist | 601 W 2nd St, Bloomington, IN 47403-2317 | 2019-04-23 |
| 1588130108 | Diane Marie Doty | Clinical Nurse Specialist | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2018-10-22 |
| 1275974131 | Melissa Carol Pietraszak | Clinical Nurse Specialist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2013-07-08 |
| 1831473685 | Virginia Elizabeth Hyland | Clinical Nurse Specialist | 4320 Fir Street, Suite 320, East Chicago, IN 46312-3076 | 2011-09-28 |
| 1174642763 | Laura Rodriguez | Clinical Nurse Specialist | 5800 Broadway, Suite A-j, Merrillville, IN 46410-2601 | 2007-03-28 |
| 1912056482 | Carol Marie Budgin | Clinical Nurse Specialist | 4320 Fir St, Ste 320, East Chicago, IN 46312-3076 | 2007-01-10 |
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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.