SABRINA GRANTHAM (NPI# 1912491234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912491234 |
Entity Type | Individual |
Full Name | SABRINA GRANTHAM |
Other Name | SABRINA CRONIN |
Credential | PA-C |
Practice Address |
3801 North Blvd Baton Rouge LA 70806-3825 |
Mailing Address |
4550 North Blvd Ste 250 Baton Rouge LA 70806-4013 |
Practice Telephone | 2256656422 |
Practice Fax Number | 2253415903 |
Mailing Telephone | 2256656422 |
Mailing Fax Number | 2253415903 |
Enumeration Date | 2018-06-20 |
Last Update Date | 2020-03-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
309573 | LA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3801 NORTH BLVD |
City | BATON ROUGE |
State | LA |
Zip Code | 70806-3825 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942202627 | Robert Mark Chasuk | Family Medicine | 3801 North Blvd, Baton Rouge, LA 70806-3825 | 2005-08-12 |
1154943009 | Shannon Wilkerson | Counselor | 3801 North Blvd, Baton Rouge, LA 70806-3825 | 2020-05-14 |
1588293237 | Kristie Nicole Carazo | Nurse Practitioner | 3801 North Blvd, Baton Rouge, LA 70806-3825 | 2020-04-05 |
1801367669 | Asia Daiges | Social Worker | 3801 North Blvd, Baton Rouge, LA 70806-3825 | 2018-12-05 |
1275034647 | Lindsay Elizabeth Haislip | Nurse Practitioner | 3801 North Blvd, Baton Rouge, LA 70806-3825 | 2018-02-21 |
1275050510 | Rebecca M Decker | Social Worker | 3801 North Blvd, Baton Rouge, LA 70806-3825 | 2017-08-28 |
1952757304 | Janice Dara | Student in an Organized Health Care Education/Training Program | 3801 North Blvd, Baton Rouge, LA 70806-3825 | 2016-05-04 |
1538514799 | Aarti Attreya | Emergency Medicine | 3801 North Blvd, Baton Rouge, LA 70806-3825 | 2016-04-25 |
1760836597 | Cory Lemoine | Family Medicine | 3801 North Blvd, Baton Rouge, LA 70806-3825 | 2016-04-18 |
1356795371 | William Devin Owens | Family Medicine | 3801 North Blvd, Baton Rouge, LA 70806-3825 | 2016-04-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
Find all providers in zip 70806 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699382176 | Morgan Prejean | Physician Assistant | 11445 Coursey Blvd Ste L, Baton Rouge, LA 70816-0411 | 2020-09-28 |
1376078022 | Brian Ammon | Physician Assistant | 11831 Oakwilde Ave, Baton Rouge, LA 70810-3120 | 2017-05-01 |
1194148437 | Margot Lebourgeois | Physician Assistant | 7777 Hennessy Blvd Ste 700, Baton Rouge, LA 70808-4300 | 2014-01-22 |
1477995645 | Ashley Raburn | Physician Assistant | 7444 Picardy Ave Ste A, Baton Rouge, LA 70808-4331 | 2013-07-29 |
1609177161 | Kimberly Bergeron | Physician Assistant | 7301 Hennessey Blvd., Suite 200, Baton Rouge, LA 70808 | 2010-11-15 |
1487968327 | Ronald Ray Torres Jr. | Physician Assistant | 10059 N. Reiger Road, Baton Rouge, LA 70809 | 2010-08-03 |
1639294564 | Sarah Ponder | Physician Assistant | 7777 Hennessy Blvd Ste 5000, Baton Rouge, LA 70808-4368 | 2007-03-20 |
1033113980 | Vickie Sue Rice | Physician Assistant | 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810-1685 | 2005-06-09 |
1124635164 | Marissa Tana Burnett | Physician Assistant | 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 | 2020-09-24 |
1053973750 | Laura Clesi Knight | Physician Assistant | 7777 Hennessy Blvd Ste 701, Baton Rouge, LA 70808-4370 | 2019-07-02 |
Find all providers in BATON ROUGE |
City | BATON ROUGE |
Zip Code | 70806 |
Please comment or provide details below to improve the information on SABRINA GRANTHAM.
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.