KRISTI L GRIGG (NPI# 1831118801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831118801 |
| Entity Type | Individual |
| Full Name | KRISTI L GRIGG |
| Other Name | KRISTI LONG |
| Credential | PA-C |
| Practice Address |
167 E 1st S Rigby ID 83442-1401 |
| Practice Telephone | 2087458747 |
| Practice Fax Number | 2087459396 |
| Mailing Telephone | 2087458747 |
| Mailing Fax Number | 2087459396 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2013-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA467 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | STATE LICENSE | PA-467 | 01 |
| ID | 806708000 | 05 |
| Street Address |
167 E 1ST S |
| City | RIGBY |
| State | ID |
| Zip Code | 83442-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861483455 | Brian David Miller | Physician Assistant | 167 E 1st S, Rigby, ID 83442-1401 | 2005-11-02 |
| 1487125969 | Hailey Anne Clark | Nurse Practitioner | 167 E 1st S, Rigby, ID 83442-1401 | 2018-12-10 |
| 1477897122 | Rigby Community Care | Durable Medical Equipment & Medical Supplies | 167 E 1st S, Rigby, ID 83442-1401 | 2012-11-19 |
| 1538425822 | Melissa M Davenport | Physician Assistant | 167 E 1st S, Rigby, ID 83442-1401 | 2012-04-11 |
| 1811043862 | Bryce Wylie | Physician Assistant | 167 E 1st S, Rigby, ID 83442-1401 | 2007-01-25 |
| 1295804425 | Larry T Curtis | Family Medicine | 167 E 1st S, Rigby, ID 83442-1401 | 2006-11-06 |
| 1952324188 | Community Care Pllc | Family Medicine | 167 E 1st S, Rigby, ID 83442-1401 | 2006-07-26 |
| 1841219987 | Bryan Hammar | Family Medicine | 167 E 1st S, Rigby, ID 83442-1401 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657010 | Rigby Pediatric Dental Pllc | Dentist | 688 Rigby Lake Circle, Suite 4, Rigby, ID 83442 | 2020-04-03 |
| 1508400912 | Ranbow LLC | Assisted Living Facility | 130 Stockham Blvd., Rigby, ID 83442 | 2019-10-30 |
| 1740833466 | Lindsay Winger | Speech-Language Pathologist | 152 E Maint St., #110, Rigby, ID 83442 | 2019-07-22 |
| 1457856429 | Kayla Childers | Speech-Language Pathologist | 152 E. Main Street, Rigby, ID 83442 | 2018-03-29 |
| 1174997878 | Zion's Management LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 470 Rigby Lake Dr., Rigby, ID 83442 | 2015-11-18 |
| 1821466376 | Chad Judy | Speech-Language Pathologist | 152 E Main Street, Suite 110, Rigby, ID 83442 | 2015-09-14 |
| 1740588276 | Jessica Brodie | Speech-Language Pathologist | 165 Front Street, Driggs, ID 83442 | 2011-03-08 |
| 1255636304 | Kathy Lebaron | Midwife | 297n 3855 East, Rigby, ID 83442 | 2011-01-21 |
| 1780834077 | Agape Birth Service and Birth Center | Midwife | 297 N 3855 East, Rigby, ID 83442 | 2008-09-24 |
| 1548431588 | Valley Orthodontics | Dentist | 197 Stockham Blvd, Suite A, Rigby, ID 83442 | 2008-03-18 |
| Find all providers in zip 83442 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861483455 | Brian David Miller | Physician Assistant | 167 E 1st S, Rigby, ID 83442-1401 | 2005-11-02 |
| 1275071128 | Adam Robert Blakeman | Physician Assistant | 711 Rigby Lake Dr Ste 115, Rigby, ID 83442-5230 | 2017-02-10 |
| 1538425822 | Melissa M Davenport | Physician Assistant | 167 E 1st S, Rigby, ID 83442-1401 | 2012-04-11 |
| 1104861368 | Stephen L. Richins | Physician Assistant | 711 Rigby Lake Dr, Ste. 114, Rigby, ID 83442-5229 | 2006-06-19 |
| 1841289469 | Cameron T. French | Physician Assistant | 703 Rigby Lake Dr, Rigby, ID 83442-5192 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217911 | David Jeffrey Hanson | Physician Assistant | 740 Mckinley Ave Ste 100, Kellogg, ID 83837-2693 | 2019-10-18 |
| 1871060681 | Travis Henman | Physician Assistant | 1404 Pomerelle Ave Ste 150, Burley, ID 83318-2012 | 2018-10-30 |
| 1952889685 | Cody Mattingly | Physician Assistant | 14601 S Pleasant Valley Rd, Kuna, ID 83634-2728 | 2018-08-03 |
| 1992174072 | Alexa Rhea | Physician Assistant | 2841 Juniper Dr Ste 2, Lewiston, ID 83501-4719 | 2015-09-18 |
| 1043689441 | Derek R Wynn | Physician Assistant | 607 W Main Street, Grangeville, ID 83530 | 2015-09-16 |
| 1407223274 | Michael Kenneth Wucinich | Physician Assistant | 775 Pole Line Rd W Ste 302, Twin Falls, ID 83301-5823 | 2015-08-28 |
| 1811364177 | Ashley Laren Popadics | Physician Assistant | 1510 12th Ave Rd Ste 200, Nampa, ID 83686-6008 | 2015-08-21 |
| 1073915963 | Jessica Bishop | Physician Assistant | 1499 W Hays St, Boise, ID 83702-5029 | 2014-09-23 |
| 1447652813 | Jessea Camille Whitlow | Physician Assistant | 2392 Addison Ave E, Twin Falls, ID 83301-6745 | 2014-09-17 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| Find all providers with the same taxonomy | ||||
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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.