MICHELLE GRANSTROM MACDAVID (NPI# 1790212751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790212751 |
Entity Type | Individual |
Full Name | MICHELLE GRANSTROM MACDAVID |
Credential | MD |
Practice Address |
1524 Pinto Ln Las Vegas NV 89106-4195 |
Practice Telephone | 7026712236 |
Enumeration Date | 2017-05-21 |
Last Update Date | 2017-05-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1524 PINTO LN |
City | LAS VEGAS |
State | NV |
Zip Code | 89106-4195 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699753434 | Renu Jain | Pediatrics | 1524 Pinto Ln, Las Vegas, NV 89106-4195 | 2006-01-03 |
1629697305 | Amy Dao | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln, Las Vegas, NV 89106-4195 | 2020-04-13 |
1417410325 | Manisha Kaur Singh | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln, Las Vegas, NV 89106-4195 | 2019-04-08 |
1104322338 | Gerard Holder | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln, Las Vegas, NV 89106-4195 | 2018-04-05 |
1548796790 | Stephen Michael Smith | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln, 2nd Floor, Las Vegas, NV 89106-4195 | 2017-05-10 |
1205367786 | Carolina Frances Koletic | Pediatrics | 1524 Pinto Ln, 2nd Floor, Las Vegas, NV 89106-4195 | 2017-03-25 |
1982055562 | Dania Salahuddin | Pediatrics | 1524 Pinto Ln, 2nd Floor, Las Vegas, NV 89106-4195 | 2016-06-25 |
1912358680 | Carlene Michelle Samuel | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln, 2nd Floor, Las Vegas, NV 89106-4195 | 2016-06-23 |
1528418753 | Vonita Chawla | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln, Department of Pediatrics, 2nd Floor, Las Vegas, NV 89106-4195 | 2016-06-19 |
1710337936 | Rishika Prakash Sakaria | Student in an Organized Health Care Education/Training Program | 1524 Pinto Ln, 2nd Floor, Las Vegas, NV 89106-4195 | 2016-06-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
Find all providers in zip 89106 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851906440 | David Hernandez | Student in an Organized Health Care Education/Training Program | 1510 Grape Arbor Way, Las Vegas, NV 89142-0669 | 2020-09-10 |
1710591110 | Jessica Celestino | Student in an Organized Health Care Education/Training Program | 6167 Allen Cove Ct, Las Vegas, NV 89148-1799 | 2020-09-02 |
1972127314 | Toyokazu Endo | Student in an Organized Health Care Education/Training Program | 2040 W Charleston Blvd Fl 3, Las Vegas, NV 89102-2227 | 2020-06-01 |
1962025775 | William Taylor Gravley | Student in an Organized Health Care Education/Training Program | 1510 Ruby Cliffs Ln Unit 204, Las Vegas, NV 89144-7015 | 2020-05-27 |
1477174449 | Vishnu Halthore | Student in an Organized Health Care Education/Training Program | 2152 Turquoise Ridge St Unit 205, Las Vegas, NV 89117-5972 | 2020-05-01 |
1417576869 | Jesus Mendez Jr. | Student in an Organized Health Care Education/Training Program | 10962 Pentland Downs St, Las Vegas, NV 89141-3997 | 2020-04-15 |
1124657333 | Daniel Gerardo Arias | Student in an Organized Health Care Education/Training Program | 700 Shadow Ln Ste 400, Las Vegas, NV 89106-4159 | 2020-04-08 |
1659900959 | Connor Wayman | Student in an Organized Health Care Education/Training Program | 6655 S Cimarron Rd, Las Vegas, NV 89113-2180 | 2020-04-07 |
1700413887 | Sameera Baig | Student in an Organized Health Care Education/Training Program | 2880 N. Tenaya Way, Las Vegas, NV 89128-0431 | 2020-03-26 |
1457988537 | Wesley Washington Yim | Student in an Organized Health Care Education/Training Program | 657 N Town Center Dr Ofc, Las Vegas, NV 89144-6367 | 2020-03-26 |
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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.