KELSEY MARTER MONCRIEF (NPI# 1013489319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013489319 |
| Entity Type | Individual |
| Full Name | KELSEY MARTER MONCRIEF |
| Practice Address |
960 Avent Dr Grenada MS 38901-5230 |
| Mailing Address |
578 Country Ridge Rd Grenada MS 38901-8465 |
| Practice Telephone | 6622277000 |
| Mailing Telephone | 6626146283 |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2018-12-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
903087 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
960 AVENT DR |
| City | GRENADA |
| State | MS |
| Zip Code | 38901-5230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386644789 | Grenada Lake Medical Center | General Acute Care Hospital | 960 Avent Dr, Grenada, MS 38901-5230 | 2005-07-28 |
| 1003431602 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-06-10 |
| 1356961320 | Angelina Guilambo | Physical Therapist | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-04-20 |
| 1841822152 | Shelby Helen Phelon Jackson | Nurse Practitioner | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-02-05 |
| 1194388082 | Grenada Emergency Group, LLC | Physician Assistant | 960 Avent Dr, Grenada, MS 38901-5230 | 2019-04-17 |
| 1932762721 | Grenada Physician Services, LLC | Nurse Practitioner | 960 Avent Dr, Grenada, MS 38901-5230 | 2019-04-17 |
| 1760908321 | Linda Gail Carter | Nurse Practitioner | 960 Avent Dr, Grenada, MS 38901-5230 | 2017-08-16 |
| 1528463486 | Marionette Yarbrough | Physical Therapist | 960 Avent Dr, Grenada, MS 38901-5230 | 2014-11-04 |
| 1720419583 | State of Mississippi-university of Mississippi Medical Center | General Acute Care Hospital | 960 Avent Dr, Grenada, MS 38901-5230 | 2013-12-04 |
| 1639500499 | State of Mississippi-university of Mississippi Medical Center | Durable Medical Equipment & Medical Supplies | 960 Avent Dr, Grenada, MS 38901-5230 | 2013-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902435118 | The Mane Physician | Prosthetic/Orthotic Supplier | 94 Spain Drive, Grenada, MS 38901 | 2020-04-08 |
| 1942842166 | Sylvia C Bass | Technician | 813 Union Street, Grenada, MS 38901 | 2019-10-09 |
| 1669971180 | Jenny Taylor | Nurse Practitioner | 350 Sunset Drive, Grenada, MS 38901 | 2018-02-10 |
| 1073912762 | John Thomas Mcree I | Counselor | 2026 Commerce St Ste 8e, Grenada, MS 38901 | 2014-08-19 |
| 1700213634 | State of Mississippi-university of Mississippi Medical Center | Home Health | 960 Avent Drive, Grenada, MS 38901 | 2013-10-10 |
| 1114359866 | Cmhp Enterprises | Dentist | 1420 Wooded Drive, Grenada, MS 38901 | 2013-08-05 |
| 1518256460 | Mercy Hospice LLC | Hospice Care, Community Based | 1410 Wooded Drive, Grenada, MS 38901 | 2011-03-31 |
| 1215256318 | Della Lea Welsh | Speech-Language Pathologist | 1321 Dd Sunset Dr., Grenada, MS 38901 | 2010-05-28 |
| 1750514543 | Family Health Care Clinic, Inc. | Clinic/Center | 1102 Telegraph St, Grenada, MS 38901 | 2009-08-27 |
| 1033384771 | Jason K Bennett | Pharmacist | 140 Shadow Wood Cv, Grenada, MS 38901 | 2008-04-24 |
| Find all providers in zip 38901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669971180 | Jenny Taylor | Nurse Practitioner | 350 Sunset Drive, Grenada, MS 38901 | 2018-02-10 |
| 1306126263 | Charles Raymond Jordan | Nurse Practitioner | 1350 Sunset Dr Ste B, Grenada, MS 38901-4079 | 2011-08-24 |
| 1144400607 | Family Health Clinic of Grenada | Nurse Practitioner | 1117 Sunset Dr Ste 104, Grenada, MS 38901-4080 | 2007-11-13 |
| 1194947754 | Shonda Jacqueline Phelon | Nurse Practitioner | 1970 Grandview Dr, Grenada, MS 38901-5066 | 2007-05-03 |
| 1629103510 | Sandra Flint Melton | Nurse Practitioner | 1241 S Mound St Ste A, Grenada, MS 38901-4515 | 2007-02-22 |
| 1619987427 | Debbie Elizabeth Mcgehee | Nurse Practitioner | 100 East Monroe Street, Grenada, MS 38901-4080 | 2006-08-08 |
| 1720057565 | Cynthia C Dotson | Nurse Practitioner | 965 Avent Dr Ste 105, Grenada, MS 38901-5045 | 2006-03-15 |
| 1841299500 | Nell Catherine Brock | Nurse Practitioner | 108 Vfw Rd, Grenada, MS 38901 | 2005-07-15 |
| 1013515980 | Aarrin Marie Mcdougal | Nurse Practitioner | 100 E Monroe St, Grenada, MS 38901-5249 | 2020-10-13 |
| 1205441375 | Alison Campbell | Nurse Practitioner | 1117 Sunset Dr Ste 104, Grenada, MS 38901-4080 | 2020-09-15 |
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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.