JENA GRIMM (NPI# 1730597220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730597220 |
Entity Type | Individual |
Full Name | JENA GRIMM |
Credential | PA |
Practice Address |
9197 Grant St Suite 200 Thornton CO 80229-4329 |
Practice Telephone | 3034503690 |
Practice Fax Number | 3034503699 |
Mailing Telephone | 3034503690 |
Mailing Fax Number | 3034503699 |
Enumeration Date | 2014-07-28 |
Last Update Date | 2014-07-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.0004018 | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | PA LICENSE | PA.0004018 | 01 |
Street Address |
9197 GRANT ST SUITE 200 |
City | THORNTON |
State | CO |
Zip Code | 80229-4329 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811969264 | Sheela Nancy Mahnke | Pediatrics | 9197 Grant St, Suite 200, Thornton, CO 80229-4329 | 2006-02-01 |
1104375070 | Lilia Larkin | Social Worker | 9197 Grant St, Thornton, CO 80229-4329 | 2016-10-03 |
1285019430 | Rocky Mountian Youth Clinics | Physician Assistant | 9197 Grant St, Suite 200, Thornton, CO 80229-4329 | 2015-07-29 |
1164807327 | Logan Ann Jennings | Physician Assistant | 9197 Grant St, Suite 200, Thornton, CO 80229-4329 | 2015-07-29 |
1952701682 | Mary Gonnella | Social Worker | 9197 Grant St, Suite 100, Thornton, CO 80229-4329 | 2014-08-29 |
1013317965 | Kaitlin Ehrlich | Physician Assistant | 9197 Grant St, Suite 100, Thornton, CO 80229-4329 | 2014-08-28 |
1861757080 | Kristina Lea Sage | Physician Assistant | 9197 Grant St, #200, Thornton, CO 80229-4329 | 2012-07-13 |
1568721785 | James A Tharp | Pediatrics | 9197 Grant St, Suite100, Thornton, CO 80229-4361 | 2012-05-08 |
1790061653 | Hillary Davis Laird | Physician Assistant | 9197 Grant St, Suite 100, Thornton, CO 80229-4329 | 2011-10-24 |
1548563331 | Dana Carol Engel | Counselor | 9197 Grant St, Ste 200, Thornton, CO 80229-4361 | 2010-12-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063045045 | Nicole Brooke Lindel | Dietitian, Registered | 10001 N. Washington Ave., Thornton, CO 80229 | 2020-02-18 |
1093299679 | Brittany Michele Nielsen | Nurse Practitioner | 9141 Grant St Ste 115, Thornton, CO 80229 | 2018-09-19 |
1891296224 | Discovery Avenues L.L.C. | Day Training, Developmentally Disabled Services | 300 Russell Blvd Apt F9, Thornton, CO 80229 | 2018-02-21 |
1265886725 | Ryan De' Angelo Pro | Massage Therapist | 10321 Washington Street, Suite 103, Thronton, CO 80229 | 2016-04-20 |
1912351800 | Concentra Medical | Clinic/Center | 550 East Thornton Pkwy, Suite 110, Thornton, CO 80229 | 2016-04-18 |
1114288636 | Senior Hub | Home Health | 9025 Grant St Ste 150, Thornton, CO 80229 | 2012-05-31 |
1578848545 | Kimberly Westhoff | Pharmacist | 10337 Washington Street, Thornton, CO 80229 | 2011-10-20 |
1003105636 | James C. Higham-kessler | Internal Medicine | 10001 N. Washington Street, Upper Level, Thornton, CO 80229 | 2011-04-05 |
1871899534 | Richard Walter Rybicki | Social Worker | 9981 N. Washington St., Ste 17, Thornton, CO 80229 | 2011-01-28 |
1114248911 | Smile Seven Professionals LLC | Dentist | 13691 Colorado Blvd Ste109, Thornton, CO 80229 | 2010-06-15 |
Find all providers in zip 80229 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326416140 | Peter Koenig Pa-c | Physician Assistant | 2200 E 104th Ave Ste 115, Thornton, CO 80233-4402 | 2015-09-10 |
1730439399 | Erin Carol Cheng | Physician Assistant | 1181 E 120th Ave Unit A, Thornton, CO 80233-5729 | 2012-09-11 |
1639543028 | Sarah Ann Fredrickson | Physician Assistant | 8990 Washington St, Thornton, CO 80229-4537 | 2015-11-23 |
1164807327 | Logan Ann Jennings | Physician Assistant | 9197 Grant St, Suite 200, Thornton, CO 80229-4329 | 2015-07-29 |
1992180442 | Mathilde M Sullivan | Physician Assistant | 8990 Washington St, Thornton, CO 80229-4537 | 2015-07-27 |
1720481120 | Rachel Spady | Physician Assistant | 9195 Grant Street, #300, Thornton, CO 80229-4386 | 2014-09-30 |
1013317965 | Kaitlin Ehrlich | Physician Assistant | 9197 Grant St, Suite 100, Thornton, CO 80229-4329 | 2014-08-28 |
1497154975 | Robin Sproule | Physician Assistant | 1551 Milky Way, Thornton, CO 80260-4713 | 2014-08-20 |
1003171612 | Sara Ann Flanigan | Physician Assistant | 9191 Huron St, Thornton, CO 80260-6842 | 2012-07-10 |
1083844872 | Emily W Majure | Physician Assistant | 3260 E 104th Ave, Thornton, CO 80233-4406 | 2009-07-15 |
Find all providers in THORNTON |
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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.