BRIANNA K GRONDIN (NPI# 1588007199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588007199 |
Entity Type | Individual |
Full Name | BRIANNA K GRONDIN |
Credential | SLPA |
Practice Address |
101 S Airpark Rd Suite M Cottonwood AZ 86326-4182 |
Mailing Address |
1440 Laree Ave Clarkdale AZ 86324-3238 |
Practice Telephone | 9286392694 |
Mailing Telephone | 9288214649 |
Enumeration Date | 2013-04-12 |
Last Update Date | 2013-04-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA8256 | AZ | Speech, Language and Hearing Service Providers |
Street Address |
101 S AIRPARK RD SUITE M |
City | COTTONWOOD |
State | AZ |
Zip Code | 86326-4182 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982922704 | Ann Donelle Crawford | Speech-Language Pathologist | 101 S Airpark Rd, Suite M, Cottonwood, AZ 86326-4182 | 2010-05-05 |
1063897122 | Alliejane Boaz Desoto | Specialist/Technologist | 101 S Airpark Rd, Suite M, Cottonwood, AZ 86326-4182 | 2015-07-29 |
1720497415 | Caitlin Jenkins | Specialist/Technologist | 101 S Airpark Rd, Ste. M., Cottonwood, AZ 86326-4182 | 2014-08-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679954895 | Isabelle Maisse Griffith | Pharmacist | 1100 E Highway 89a, Cottonwood, AZ 86326 | 2015-06-12 |
1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
1922391663 | Ronald D. Carsrud | Hearing Instrument Specialist | 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 | 2011-05-26 |
1760712749 | Chuck Thomas Calvano | Pharmacist | 550 S Main, Cottonwood, AZ 86326 | 2010-01-13 |
1528231438 | Elizabeth Lightner Mccarrell | Emergency Medicine | 269 S Candy Lane, Cottonwood, AZ 86326 | 2008-04-11 |
1972783355 | The Wick Home for Emotional Growth and Recovery | Residential Treatment Facility, Emotionally Disturbed Children | 2102 E Fir St, Cottonwood, AZ 86326 | 2007-11-14 |
1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
1003001033 | Country Care Inc | Assisted Living Facility | 3980 E Cassie Lane, Cottonwood, AZ 86326 | 2007-09-12 |
1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
1841401700 | Bruce Alan Moseng | Chiropractor | 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 | 2007-05-24 |
Find all providers in zip 86326 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457885006 | Ellen Dehnert | Specialist/Technologist | 1145 S 17th St, Cottonwood, AZ 86326-8902 | 2017-04-19 |
1316342355 | Deborah Kohan | Specialist/Technologist | 101 S Airpark Rd Ste M, Cottonwood, AZ 86326-4113 | 2014-11-04 |
1457789646 | Sheree Piper | Specialist/Technologist | 318 N Rocking Chair Ranch Rd, Cottonwood, AZ 86326-5532 | 2013-10-24 |
1699068817 | Melanie Lohmiller | Specialist/Technologist | 216 E Beech St, Cottonwood, AZ 86326-4138 | 2011-05-20 |
1790341725 | Joe Falsetto | Specialist/Technologist | 101 S Airpark Rd Ste M, Cottonwood, AZ 86326-4113 | 2019-05-15 |
1801369103 | Valerie Smith | Specialist/Technologist | 101 S Airpark Rd Ste M, Cottonwood, AZ 86326-4113 | 2019-01-09 |
1184110082 | Paige Elizabeth Price | Specialist/Technologist | 101 S Airpark Rd Ste M, Cottonwood, AZ 86326-4113 | 2018-07-03 |
1184137036 | Amy A Kentzler | Specialist/Technologist | 1 N Willard St, Cottonwood, AZ 86326-3651 | 2017-11-14 |
1063897122 | Alliejane Boaz Desoto | Specialist/Technologist | 101 S Airpark Rd, Suite M, Cottonwood, AZ 86326-4182 | 2015-07-29 |
1720497415 | Caitlin Jenkins | Specialist/Technologist | 101 S Airpark Rd, Ste. M., Cottonwood, AZ 86326-4182 | 2014-08-06 |
Find all providers in COTTONWOOD |
City | COTTONWOOD |
Zip Code | 86326 |
Please comment or provide details below to improve the information on BRIANNA K GRONDIN.
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.