SABRINA GRANTHAM


Address: 3801 North Blvd, Baton Rouge, LA 70806-3825
Phone: 2256656422

SABRINA GRANTHAM (NPI# 1912491234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
309573 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3801 NORTH BLVD
City BATON ROUGE
State LA
Zip Code 70806-3825

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City BATON ROUGE
Zip Code 70806

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Dataset Information

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.

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