MELISSA GRIVY (NPI# 1063981298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063981298 |
| Entity Type | Individual |
| Full Name | MELISSA GRIVY |
| Practice Address |
1455 Dixon Ave Ste 300 Lafayette CO 80026-8880 |
| Practice Telephone | 3034438500 |
| Mailing Telephone | 3034438500 |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1455 DIXON AVE STE 300 |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-8880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700910221 | Guy Michael Guinn | Counselor | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2007-03-15 |
| 1265047120 | Kelly Megan Shea | Social Worker | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2020-09-08 |
| 1770118838 | Taylor Whaley | Counselor | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2020-03-10 |
| 1689225054 | Amanda Kay Padgett | Counselor | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2019-09-26 |
| 1497302319 | Matthew Cavanna | Counselor | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2019-08-26 |
| 1679129621 | Alex Kirk | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2019-08-15 |
| 1316591092 | Nicholas Wayne Butkovich | Case Manager/Care Coordinator | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2019-07-30 |
| 1609337401 | Margaret Elizabeth Genevie | Case Manager/Care Coordinator | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2019-03-26 |
| 1528529419 | Susan Nichols | Technician, Other | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2019-03-25 |
| 1174094783 | Karlie Roshong | Counselor | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2018-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316466758 | Adarian Shawntell Bourgeois | Peer Specialist | 1017 Saint John St Ste C, Lafayette, LA 70501-6711 | 2017-09-18 |
| 1659979144 | Ronda Babineaux | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-10-15 |
| 1295357523 | Frances Ann Mueller | Peer Specialist | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-05-08 |
| 1972122422 | Nakeetha Savoy | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-04-15 |
| 1699300293 | Jude Bernard | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-03-04 |
| 1790318087 | Denise Deville | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-02-15 |
| 1417580796 | Tears Mickens | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-02-14 |
| 1033742432 | Laversia Theresa Landry | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-02-14 |
| 1447883723 | Aiesha Danelle Broussard | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-02-14 |
| 1033742424 | Tiffany Rene' Turner | Peer Specialist | 1017 Saint John St, Lafayette, LA 70501-6711 | 2020-02-13 |
| Find all providers in LAFAYETTE | ||||
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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.