DR. KIMBERLY ANN GRANDINETTI (NPI# 1801888524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801888524 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY ANN GRANDINETTI |
| Credential | MD |
| Practice Address |
322 W North River Dr Spokane WA 99201-3208 |
| Practice Telephone | 5093246464 |
| Practice Fax Number | 5093243726 |
| Mailing Telephone | 5093246464 |
| Mailing Fax Number | 5093243726 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2012-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD00046330 | WA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD23090 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE PTAN | G8862602 | 01 |
| WA | 8459828 | 05 | |
| WA | MEDICARE RR | P00419722 | 01 |
| Street Address |
322 W NORTH RIVER DR |
| City | SPOKANE |
| State | WA |
| Zip Code | 99201-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336954 | Susi M Myers | Psychiatry & Neurology | 322 W North River Dr, Spokane, WA 99201-3208 | 2005-06-17 |
| 1144842568 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 322 W North River Dr, Spokane, WA 99201-3208 | 2020-05-07 |
| 1427507615 | Jacqueline Jordyn Brownlee | Pharmacist | 322 W North River Dr, Spokane, WA 99201-3208 | 2016-09-28 |
| 1467806224 | Bilal Ittiq | Family Medicine | 322 W North River Dr, Spokane, WA 99201-3208 | 2016-04-19 |
| 1477929677 | Matthew William Walker | Pharmacist | 322 W North River Dr, Spokane, WA 99201-3208 | 2015-08-11 |
| 1770964447 | Megan Szarkowski | Optometrist | 322 W North River Dr, Spokane, WA 99201-3208 | 2015-06-17 |
| 1053707372 | Meghann Elise Sprague | Psychiatry & Neurology | 322 W North River Dr, Spokane, WA 99201-3208 | 2015-04-14 |
| 1346658366 | Richard Fairbanks | Social Worker | 322 W North River Dr, Spokane, WA 99201-3208 | 2014-07-23 |
| 1669890851 | Christopher Treffry | Pharmacist | 322 W North River Dr, Spokane, WA 99201-3208 | 2014-04-03 |
| 1053738443 | Kristian Enghusen | Family Medicine | 322 W North River Dr, Spokane, WA 99201-3208 | 2014-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1811594658 | Kaaren Goeller-bloom | Counselor | 106 West Mission, Spokane, WA 99201 | 2020-10-05 |
| 1649732793 | Marsha Rose Valenzuela | Peer Specialist | Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 | 2019-04-05 |
| 1770047896 | Rachel Nicole Burns | Counselor | 1321 W. Broadway Ave, Spokane, WA 99201 | 2019-01-23 |
| 1760953384 | Nicole Renee Breesnee | Counselor | 2308 W. 3rd Ave, Spokane, WA 99201 | 2018-12-07 |
| 1083184675 | Alicia L Paschall | Counselor | 222 S Howard St, Apt 310, Spokane, WA 99201 | 2018-11-27 |
| 1003383159 | Sandra Kay Robinson | Counselor | New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 | 2018-10-26 |
| 1801361191 | Michael Joseph Lehman | Naturopath | 316 W Boone Ave Ste 777, Spokane, WA 99201 | 2018-10-12 |
| 1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
| Find all providers in zip 99201 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1740690049 | Ashley Claire Mccorkhill | Pediatrics | 1514 S Tacoma St, Spokane, WA 99203-2260 | 2014-05-07 |
| 1891001277 | Providence Physician Services Co | Pediatrics | 5901 N Linderwood, Suite 126, Spokane, WA 99207 | 2010-08-24 |
| 1568591923 | Bridget Z Duffy | Pediatrics | 1111 E Westview Ct Ste B, Spokane, WA 99218-1376 | 2007-03-03 |
| 1831296177 | Deborah Ann Icenogle | Pediatrics | 5011 W Lowell Ave Ste 100, Spokane, WA 99208-8587 | 2006-09-20 |
| 1417061169 | Joseph B Mcmanus | Pediatrics | 5901 N Lidgerwood, Suite 220, Spokane, WA 99208 | 2006-08-19 |
| 1962494393 | David R Fregeau | Pediatrics | 101 W Eighth, Spokane, WA 99220-2555 | 2005-08-22 |
| 1932680949 | Spokane Pediatrics Pllc | Pediatrics | 315 W 9th Ave Ste 200, Spokane, WA 99204 | 2018-08-27 |
| 1396253910 | Grand Pediatrics, P.s. | Pediatrics | 1402 S Grand Blvd, Spokane, WA 99203-5001 | 2018-01-17 |
| 1275053514 | Angela Denise Beauchamp | Pediatrics | 1402 S Grand Blvd, Spokane, WA 99203-5001 | 2017-06-27 |
| Find all providers in SPOKANE | ||||
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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.