DR. LIESL SHOCKLEY GRENIER (NPI# 1003139718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003139718 |
| Entity Type | Individual |
| Full Name | DR. LIESL SHOCKLEY GRENIER |
| Other Name | LIESL BREANN SHOCKLEY |
| Credential | M.D. |
| Practice Address |
36000 Darnall Loop Carl R. Darnall Army Medical Center Fort Hood TX 76544 |
| Practice Telephone | 2542888025 |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2014-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 26578 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
36000 DARNALL LOOP CARL R. DARNALL ARMY MEDICAL CENTER |
| City | FORT HOOD |
| State | TX |
| Zip Code | 76544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253828 | Erin Michelle Hall | Physician Assistant | 36000 Darnall Loop, Carl R Darnall Amc, Fort Hood, TX 76544 | 2005-05-31 |
| 1194337154 | Chisa C Martin | Nurse Practitioner | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2020-08-20 |
| 1114537487 | Richard William Andreasen Jr. | Dentist | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2020-08-03 |
| 1093341919 | Jennifer Marie Pena | Physician Assistant | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2020-03-23 |
| 1497301691 | Jason Michael Fackender | Dentist | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2019-08-13 |
| 1801373774 | Joshua Schaepe | Dentist | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2018-07-24 |
| 1477039840 | Carl R Darnall Army Medical Center | Clinic/Center | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2018-07-18 |
| 1881182848 | Somer Jean Welch | Social Worker | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2018-04-25 |
| 1760919609 | Qwanquita Teressa Wright | Social Worker | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2017-05-22 |
| 1609228485 | Kristina E Thompson | General Practice | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2016-07-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626429 | Gilberto Rolando Nunez | Dental Hygienist | Dentac Fort Hood, 68th Street Bldg. 4431, Fort Hood, TX 76544 | 2020-10-09 |
| 1184236895 | Christina Belousov | Dentist | 14351 Battalion Ave, Apo, AA 76544 | 2020-08-24 |
| 1598377095 | Stephen Doh | Dentist | 23rd St &, Old Battalion Ave, Fort Hood, TX 76544 | 2020-08-18 |
| 1265041602 | Jamie Gregory | Registered Nurse | Building 33003 Battalion Ave, Fort Hood, TX 76544 | 2020-07-30 |
| 1013525559 | Danielle Robbins | Social Worker | 2255 761st Tank Battalion, Fort Hood, TX 76544 | 2020-07-21 |
| 1811530397 | Keven Faust | Physician Assistant | Carl R Darnell Army Medical Center, 36065 Sante Fe Ave, Fort Hood, TX 76544 | 2019-10-28 |
| 1760024483 | Whitney C Weatherall | Licensed Vocational Nurse | 5458 Hughes St Unit 2, Fort Hood, TX 76544 | 2019-10-14 |
| 1982255436 | Rojalina Nayak | Dentist | Building 4250 Clear Creek Road, Ste #213, Fort Hood, TX 76544 | 2019-09-26 |
| 1730735770 | Kai Steven Hatch | Dentist | 72nd and Support Building 33026, 1st Medical Brigade, Apo, AA 76544 | 2019-08-15 |
| 1881247864 | Melissa Ann Marcelli-flint | Social Worker | 21011 Old Ironsides Avenue, Fort Hood, TX 76544 | 2019-07-19 |
| Find all providers in zip 76544 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275896045 | Daniel Robert Diblasi | Dermatology | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2012-06-18 |
| 1780882134 | Luke Bloomquist | Dermatology | 36000 Darnall Loop, Carl R Darnall Army Medical Center, Fort Hood, TX 76544 | 2007-07-06 |
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|---|---|---|---|---|
| 1265030456 | Andrew M. Quinn IIi, Md Pllc | Dermatology | 4110 Bellaire Blvd Ste 202, Houston, TX 77025-1057 | 2020-10-11 |
| 1639786999 | Carolyn Huyen Trieu | Dermatology | 7700 San Felipe St Ste 492, Houston, TX 77063-1630 | 2020-09-29 |
| 1366057861 | Young E Martin | Dermatology | 910 W Parker Rd Ste 210, Plano, TX 75075-2361 | 2020-09-11 |
| 1700498136 | Optimal Health and Skin LLC | Dermatology | 4701 Old Shepard Pl Ste 260, Plano, TX 75093-5250 | 2020-08-18 |
| 1962023077 | Bluebonnet Dermatology, Pllc | Dermatology | 935 W Exchange Parkway, Building B, Suite 130, Allen, TX 75013-7075 | 2020-04-29 |
| 1205461019 | Affinity Dermatology Pllc | Dermatology | 13052 Dallas Parkway Suite 520, Frisco, TX 75033 | 2020-03-12 |
| 1518506054 | Duong Thuy Nguyen | Dermatology | 1134 Globe St, Houston, TX 77034-1109 | 2020-01-01 |
| 1558904953 | Lorin Brittney Anderson | Dermatology | 5928 Chisholm Trl, Mckinney, TX 75070-6464 | 2019-10-18 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
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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.