MR. GRANT BURSELL (NPI# 1104273648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104273648 |
| Entity Type | Individual |
| Full Name | MR. GRANT BURSELL |
| Practice Address |
5316 E Sumac Ln Spokane WA 99223-5090 |
| Practice Telephone | 2066164001 |
| Enumeration Date | 2016-05-14 |
| Last Update Date | 2017-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5316 E SUMAC LN |
| City | SPOKANE |
| State | WA |
| Zip Code | 99223-5090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790253110 | The Anna Schindler Foundation Inc | Lodging | 2322 E 28th Ave, Spokane, WA 99223 | 2018-11-03 |
| 1174018113 | Taylor Bryant Etchart | Massage Therapist | 7040, 3209 E 57th Ave, Suite H, Spokane, WA 99223 | 2018-06-22 |
| 1366958415 | Jennifer Andrea Meroshnik | Massage Therapist | 3210 East 44th Ave, F301, Spokane, WA 99223 | 2017-12-26 |
| 1982060539 | Andrew John David Bingham | Nurse's Aide | 4202 S Regal St, Spokane, WA 99223 | 2016-01-12 |
| 1396118469 | Kerry Lee Traugott | Nurse Practitioner | 2405 E 17th Ave, Suite 113, Spokane, WA 99223 | 2015-11-11 |
| 1518335082 | Thomas Genthe | Psychologist | 5619 South Custer Rd., Spokane, WA 99223 | 2015-09-14 |
| 1346630035 | Inland Empire Therapy Associates | Occupational Therapist | 2527 E. 27th, Suite 100, Spokane, WA 99223 | 2015-02-02 |
| 1396080743 | Karin Lee Gilchrist | Dietitian, Registered | 3019 S. Lloyd Lane, Spokane, WA 99223 | 2012-12-11 |
| 1184968752 | Susan Marie Reynolds | Massage Therapist | 3010 S. Southeast Blvd, Suite A, Spokane, WA 99223 | 2012-11-20 |
| 1750638110 | Bobby E Kizer | Psychologist | 4219 E Prairie Lane Ct, Spokane, WA 99223 | 2012-08-04 |
| Find all providers in zip 99223 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528678844 | April Antonio | Student in an Organized Health Care Education/Training Program | 412 E Spokane Falls Blvd # 130, Spokane, WA 99202-2131 | 2020-08-01 |
| 1467085803 | Kate Anahola Hall | Student in an Organized Health Care Education/Training Program | 919 E 14th Ave, Spokane, WA 99202-2537 | 2020-02-13 |
| 1669024212 | Tara Alexandria Myatt | Student in an Organized Health Care Education/Training Program | 3115 S Spring Creek Ln, Spokane, WA 99224-9612 | 2019-07-14 |
| 1295392348 | Jennifer Bray | Student in an Organized Health Care Education/Training Program | 4112 S Custer Ct, Spokane, WA 99223-1285 | 2019-05-23 |
| 1407410731 | Helya Peyman | Student in an Organized Health Care Education/Training Program | 3029 E 34th Ave Unit A, Spokane, WA 99223-4620 | 2019-04-22 |
| 1538622949 | Audrey Woo | Student in an Organized Health Care Education/Training Program | 8802 N Elm St, Spokane, WA 99208-6433 | 2019-04-11 |
| 1942761671 | Melissa Zavislan | Student in an Organized Health Care Education/Training Program | 3222 S Dearborn Ln, Spokane, WA 99223-1535 | 2019-03-26 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1053871889 | Karli Meehan | Student in an Organized Health Care Education/Training Program | 2611 S Post St, Spokane, WA 99203-1843 | 2019-03-20 |
| 1790245579 | Mindy Woodruff | Student in an Organized Health Care Education/Training Program | 9111 S Cedar Rim Ln, Spokane, WA 99224-9665 | 2019-03-20 |
| Find all providers in SPOKANE | ||||
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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.