GRADY SCOTT AINSWORTH (NPI# 1770142952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770142952 |
| Entity Type | Individual |
| Full Name | GRADY SCOTT AINSWORTH |
| Credential | PEER SUPPORT |
| Practice Address |
4455 E 12th Ave Denver CO 80220-2415 |
| Practice Telephone | 3038819407 |
| Practice Fax Number | 3035047991 |
| Mailing Telephone | 3038819407 |
| Mailing Fax Number | 3035047991 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
4455 E 12TH AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80220-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735595 | Mark Scott Marshall | Psychiatry & Neurology | 4455 E 12th Ave, Denver, CO 80220-2415 | 2005-07-28 |
| 1467053033 | Bridget Frances Rowe | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-11-02 |
| 1558977116 | Nathalie Melissa Alvarado | Case Manager/Care Coordinator | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-09-18 |
| 1578179222 | Bria Voorhees | Nurse's Aide | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-09-18 |
| 1932715844 | Shawnna Jessica Kirby | Licensed Practical Nurse | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-09-17 |
| 1033722335 | Kevin Fisher | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-08-26 |
| 1982217295 | Peter F Crowley | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-08-26 |
| 1962014035 | Abigail Clark | Licensed Practical Nurse | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-08-20 |
| 1982212817 | Cara La Rhe Lipford | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-07-16 |
| 1437776549 | Laura Christina Messenger | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053876748 | Woody Dental Pllc | Dentist | 5989 E Colfax Avenue, Denver, CO 80220 | 2019-02-06 |
| 1366961930 | Maita Angelica Thams | Case Manager/Care Coordinator | 4455 E. 12th Ave, Denver, CO 80220 | 2017-09-14 |
| 1962943837 | Rocky Mountain Therapy Ltd | Clinic/Center | 883 Jersey St, Denver, CO 80220 | 2017-03-13 |
| 1578019188 | Alfredo Guzman | Pharmacist | 1055 Cleremont, Denver, CO 80220 | 2016-09-01 |
| 1265802144 | Joseph Parker Morse | Case Manager/Care Coordinator | 4455 East 12th Avenue, Denver, CO 80220 | 2015-10-05 |
| 1104296789 | Eric Poissant | Physical Therapist | 4700 East Hale Parkway, #550, Denver, CO 80220 | 2015-09-25 |
| 1104292085 | Casey Lucarelli | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Av., Mhcd, Denver, CO 80220 | 2015-08-14 |
| 1124414081 | Domenic Michael Terenzi | Hospitalist | 8001 E 11th Ave Unit 5210, Denver, CO 80220 | 2015-04-07 |
| 1730598566 | Jessica Nichole Heck | Pharmacist | 1055 Clermont Street (119), Denver Va Medical Center- Echcs, Denver, CO 80220 | 2014-08-06 |
| 1063840171 | Kellie Ann Douglas | Nurse Practitioner | 4545 E 9th Ave Ste 260, Denver, CO 80220 | 2013-10-29 |
| Find all providers in zip 80220 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518364710 | Ryan Moir Tixier | Peer Specialist | 901 Sherman St, Apt 322, Denver, CO 80203-2916 | 2014-12-03 |
| 1770113060 | Daniel Reichwein | Peer Specialist | 4141 E Dickenson Pl, Denver, CO 80222-6012 | 2020-01-25 |
| 1548804644 | Sonia Rhodes | Peer Specialist | 456 Bannock St, Denver, CO 80204-5126 | 2019-10-31 |
| 1164065306 | Emily Marie Pocock | Peer Specialist | 4141 E Dickenson Pl, Denver, CO 80222-6012 | 2019-10-21 |
| 1629619333 | Jody Gamel | Peer Specialist | 777 Bannock St, Denver, CO 80204-4597 | 2019-10-03 |
| 1154981835 | Sara Alexandra Bray | Peer Specialist | 456 Bannock St, Denver, CO 80204-5126 | 2019-06-16 |
| 1912466962 | Doug James Comiskey | Peer Specialist | 1601 S Federal Blvd, Denver, CO 80219-4837 | 2019-03-19 |
| 1023574928 | Candy Rountree | Peer Specialist | 1075 Galapago St, Denver, CO 80204-3942 | 2019-02-15 |
| 1225509045 | John N Raiche | Peer Specialist | 1648 Gaylord St, Denver, CO 80206-1239 | 2018-12-06 |
| 1326535550 | Ana Michelle Bullard | Peer Specialist | 2829 W 33rd Ave, Denver, CO 80211-3231 | 2018-04-13 |
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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.