VENETREA LAWANDA GRANT (NPI# 1710485073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710485073 |
| Entity Type | Individual |
| Full Name | VENETREA LAWANDA GRANT |
| Practice Address |
9165 Otis Ave Ste 222 Indianapolis IN 46216-2316 |
| Practice Telephone | 3173317068 |
| Practice Fax Number | 3177233772 |
| Mailing Telephone | 3173317068 |
| Mailing Fax Number | 3177233772 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
170140631 | IN | Nursing Service Related Providers |
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
170140631 | IN | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300009906 | 05 | |
| IN | 813743408 | 05 |
| Street Address |
9165 OTIS AVE STE 222 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46216-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435292 | Wickshire Fort Harrison Opco LLC | Assisted Living Facility | 8025 Doubleday Drive, Indianapolis, IN 46216 | 2020-01-02 |
| 1851875546 | Andrew David Power | Dentist | 5869 Lawton Loop East Drive, Indianapolis, IN 46216 | 2018-09-19 |
| 1366938417 | Alidde Alouidor | Social Worker | 9801 E 59th St, Indianapolis, IN 46216 | 2018-07-02 |
| 1548779663 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 9140 Harrison Park Ct, Indianapolis, IN 46216 | 2017-09-20 |
| 1184835852 | Toby A Zirkle | Family Medicine | 8205 E 56th St Ste 100, Indianapolis, IN 46216 | 2007-05-24 |
| 1922178995 | Physiotherapy Associates | Physical Therapist | 5665 North Post Rd. Suite 100, Indianapolis, IN 46216 | 2006-11-08 |
| 1871562645 | Richard Clark Perry | Internal Medicine | 8205 E 56th Street, Suite 100, Indianapolis, IN 46216 | 2006-03-15 |
| 1902420532 | Carole Christine Corder | Dietitian, Registered | 8205 E 56th St, Suite 100, Indianapolis, IN 46216 | 2020-05-29 |
| 1821301300 | Robin Girdhar | Internal Medicine | 8205 E 56th St, Ste 100, Indianapolis, IN 46216 | 2010-07-26 |
| 1306949086 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 5605 N Post Rd, Indianapolis, IN 46216-1002 | 2006-09-07 |
| Find all providers in zip 46216 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633029 | Kaneisha Burrus | Technician | 10853 Mistflower Way, Indianapolis, IN 46235-3563 | 2020-09-09 |
| 1871117531 | Kierra Shanae Sherron | Technician | 11569 Short Iron Ln, Indianapolis, IN 46235-9101 | 2020-05-28 |
| 1386293611 | Clara Banks | Technician | 1907 Pro Am Pl, Indianapolis, IN 46229-4322 | 2019-09-09 |
| 1457900375 | Kara Combs | Technician | 8737 Winding Ridge Rd, Indianapolis, IN 46217 | 2019-09-04 |
| 1992219521 | Jeparis Johnson | Technician | 10411 N College Ave, Indianapolis, IN 46280-1436 | 2017-11-17 |
| 1114124740 | Marsha Johnson | Technician | 7461 Mallard Ct Apt A, Indianapolis, IN 46260-5221 | 2007-06-28 |
| 1932554094 | Cathy Bullock | Technician | 2021 E 52nd St, Indianapolis, IN 46205-1486 | 2016-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679182976 | Barbara S Link | Technician | 5154 St Rd.60 1, Pekin, IN 47165 | 2020-07-23 |
| 1659916260 | Virginia Kay St. John | Technician | 961 Deer Field Court, Greencastle, IN 46135 | 2019-11-07 |
| 1861033755 | Lisa G Sturm | Technician | 7420 Lauren Dr, Evansville, IN 47725-7377 | 2019-10-02 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1538710538 | Janet A Slaughter | Technician | 4022 Tanglewood Drive, Floyds Knobs, IN 47119 | 2019-09-23 |
| 1437709516 | Andrea Wiseman | Technician | 3616 N County Road 850 E, Otwell, IN 47564-8990 | 2019-09-19 |
| 1093365355 | Susan Hathaway | Technician | 3783 West 800 South, Portland, IN 47371 | 2019-09-18 |
| 1447800347 | Jennifer Owens | Technician | 1429 Durham Ct, Winona Lake, IN 46590 | 2019-09-13 |
| 1689223620 | Kathy Jane Warren | Technician | 1277 Russell Rd, Chandler, IN 47610-9692 | 2019-09-11 |
| 1437708021 | Teri Reed | Technician | 27420 Centennial Drive, Elkhart, IN 46514-9732 | 2019-09-06 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46216 |
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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.