MRS. AMELIA ROSE GRAYSON (NPI# 1962050252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962050252 |
Entity Type | Individual |
Full Name | MRS. AMELIA ROSE GRAYSON |
Credential | NP-C |
Practice Address |
1055 Medical Park Dr Se Grand Rapids MI 49546-8323 |
Mailing Address |
259 Morris Ave Se Grand Rapids MI 49503-4603 |
Practice Telephone | 6169429610 |
Mailing Telephone | 6164602992 |
Enumeration Date | 2019-08-29 |
Last Update Date | 2019-08-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
4704305033 | MI | Allopathic & Osteopathic Physicians |
Street Address |
1055 MEDICAL PARK DR SE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49546-8323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902808272 | Forest View Psychiatric Hospital Inc | Psychiatry & Neurology | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3671 | 2005-06-01 |
1649884214 | Jessy Gigowski | Counselor | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2020-09-01 |
1689207334 | Hill View Psychiatric Plc | Psychiatry & Neurology | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2020-02-20 |
1558900183 | Kathryn Long | Nurse Practitioner | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2019-12-30 |
1841760972 | Kelly J Culmore | Psychiatry & Neurology | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2018-12-02 |
1710457858 | Jason Douglas Sikkema | Psychologist | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2018-12-02 |
1548752314 | Marci Marie Colyer | Registered Nurse | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2018-06-06 |
1447760640 | Jamie Marie Newman | Registered Nurse | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2017-10-03 |
1154861565 | Karli Reich | Nurse Practitioner | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2017-03-03 |
1124494539 | Amy Catherine Stratton | Nurse Practitioner | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2015-08-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
Find all providers in zip 49546 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033717632 | Visiting Caring Doctors Plc | Family Medicine | 18000 W 9 Mile Rd Ste 700l, Southfield, MI 48075-4009 | 2020-10-15 |
1265045389 | Synchronymd Limited Liability Company | Family Medicine | 1578 Scenic Hollow Dr, Rochester Hills, MI 48306-3246 | 2020-08-28 |
1063045839 | Rtsmedicalgroupllc | Family Medicine | 5210 Yorkshire Rd, Detroit, MI 48224-2139 | 2020-02-19 |
1194234120 | Prime Mobile Care Incorporated | Family Medicine | 17515 W 9 Mile Rd Ste 375, Southfield, MI 48075-4404 | 2017-09-21 |
1093233132 | Right At Home Physicians Pllc | Family Medicine | 22001 Kelly Rd Ste 2, Eastpointe, MI 48021-2726 | 2017-09-08 |
1821531831 | Ant Hill, Inc. | Family Medicine | 21 Midland St, Highland Park, MI 48203-3727 | 2016-11-22 |
1518419043 | Alma Care Visiting Services | Family Medicine | 11352 Gabriel St, Romulus, MI 48174-1431 | 2016-11-01 |
1801341821 | Bridgette Defrance | Family Medicine | 42074 Greenwood Dr, Canton, MI 48187-3615 | 2016-08-19 |
1417311762 | Adam Wolfe | Family Medicine | 1101 W University Dr # 2-south, Rochester, MI 48307-1863 | 2016-04-12 |
1801255906 | Westland Primary Care Pllc | Family Medicine | 8311 N Wayne Rd, Westland, MI 48185-1351 | 2016-02-17 |
Find all providers with the same taxonomy |
City | GRAND RAPIDS |
Zip Code | 49546 |
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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.