TEDRICK GRAYSON (NPI# 1023553815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023553815 |
| Entity Type | Individual |
| Full Name | TEDRICK GRAYSON |
| Practice Address |
152 Toston Rd West Monroe LA 71292-2235 |
| Practice Telephone | 9072311416 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
152 TOSTON RD |
| City | WEST MONROE |
| State | LA |
| Zip Code | 71292-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699222190 | Kasi Lively | Physician Assistant | 1879 Caples Rd, West Monroe, LA 71292 | 2016-09-01 |
| 1780029918 | Earlysteps | Home Health | 130 Laureli Ln, West Monroe, LA 71292 | 2013-05-01 |
| 1356587372 | Donald Shane Debnam | Nurse Practitioner | 1070 Jonesboro Road, Gpi - Plant 70 Medical Center, West Monroe, LA 71292 | 2008-12-22 |
| 1063572428 | Mr. Discount Drugs, Inc. | Pharmacy | 1106 Jonesboro Road, West Monroe, LA 71292 | 2006-12-08 |
| 1356376602 | West Monroe Care Center LLC | Family Medicine | 1416 Natchitaches Road, West Monroe, LA 71292 | 2006-07-12 |
| 1912936980 | Advanced Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 213 Expo Circle, West Monroe, LA 71292 | 2006-07-02 |
| 1023054871 | Healthcare Warehouse LLC | Durable Medical Equipment & Medical Supplies | 209 Expo Circle, Ste A, West Monroe, LA 71292 | 2006-06-21 |
| 1831154350 | Julee Lynn Winkler | Physical Therapist | 619 Kendall Ridge, West Monroe, LA 71292 | 2006-04-18 |
| 1033236393 | Monpsych Care Professional Corporation | Psychiatry & Neurology | 110 Elsinore Dr, West Monroe, LA 71292-0170 | 2007-03-23 |
| 1023621398 | Sharon Mayree Colton | Nurse Practitioner | 5856 Jonesboro Rd, West Monroe, LA 71292-0373 | 2020-08-26 |
| Find all providers in zip 71292 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427454693 | Rena Caraway | Military Health Care Provider | 3714 Earhart Blvd, Unit B, New Orleans, LA 70125-1418 | 2014-11-14 |
| 1528312410 | Miguel Antonio Murillo | Military Health Care Provider | 424 Blossom St, Terrytown, LA 70056-2766 | 2012-10-31 |
| 1942270061 | Ronald Dailey | Military Health Care Provider | 400 Russell Ave, New Orleans, LA 70143-5077 | 2006-01-23 |
| 1336129659 | Eric Earl Cousin | Military Health Care Provider | 123 Intrepid Dr, Belle Chasse, LA 70037-1358 | 2006-01-20 |
| 1740687367 | Emilia Anangfac | Military Health Care Provider | 1790 Saturn St, New Orleans, LA 70129-2270 | 2014-11-25 |
| 1669879672 | Shelby Valora Cooper | Military Health Care Provider | 1790 Saturn Blvd, Uscg Medical Clinic, New Orleans, LA 70129 | 2014-11-20 |
| 1205232485 | Antonio Deon Cole | Military Health Care Provider | 1790 Saturn St, New Orleans, LA 70129-2270 | 2014-11-14 |
| 1851595219 | Garry Vincent Tossing | Military Health Care Provider | 4400 Dauphine St Bldg 601, New Orleans, LA 70146-0001 | 2007-06-12 |
| 1881664910 | Wendell Reese Bates | Military Health Care Provider | 400 Russell Ave, New Orleans, LA 70143-5077 | 2006-01-23 |
| City | WEST MONROE |
| Zip Code | 71292 |
Please comment or provide details below to improve the information on TEDRICK GRAYSON.
| 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.