CARON C GRANT-ELLIS (NPI# 1124269998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124269998 |
| Entity Type | Individual |
| Full Name | CARON C GRANT-ELLIS |
| Credential | RN |
| Practice Address |
554 S Bellview Mesa AZ 85204-2504 |
| Mailing Address |
3691 W Yellow Peak Dr Queen Creek AZ 85242-3076 |
| Practice Telephone | 4806491141 |
| Mailing Telephone | 4806774160 |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
RN133597 | AZ | Nursing Service Providers |
| Street Address |
554 S BELLVIEW |
| City | MESA |
| State | AZ |
| Zip Code | 85204-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437213725 | Community Bridges | Clinic/Center | 554 S Bellview, Mesa, AZ 85204-2504 | 2006-12-20 |
| 1568728707 | Community Bridges, Inc | Clinical Medical Laboratory | 554 S Bellview, Mesa, AZ 85204-2504 | 2012-04-02 |
| 1174820757 | Elizabeth Athens | Counselor | 554 S Bellview, Mesa, AZ 85204-2504 | 2011-02-17 |
| 1639476138 | Wilma Joy Meiner | Counselor | 554 S Bellview, Mesa, AZ 85204-2504 | 2011-02-17 |
| 1508092578 | Community Bridges, Inc | Community/Behavioral Health | 554 S Bellview, Mesa, AZ 85204-2504 | 2009-06-04 |
| 1205077112 | Vera Ellen Suppo | Registered Nurse | 554 S Bellview, Mesa, AZ 85204-2504 | 2009-03-23 |
| 1356461727 | Community Bridges, Inc. | Nursing Care | 554 S Bellview, Mesa, AZ 85204-2504 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659839249 | Tinisha Lynn Johnston | Registered Nurse | 1855 W Baseline Rd, Mesa, AZ 85202-9000 | 2019-03-04 |
| 1437502200 | Diane Sillman | Registered Nurse | 32 S Macdonald, Mesa, AZ 85210-1310 | 2016-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417569138 | Robert Carl Westerman | Registered Nurse | 18151 W Carlota Ln, Surprise, AZ 85387-1552 | 2020-08-24 |
| 1255754131 | Arizona Medical & Injury Pllc | Registered Nurse | Arizona Medical & Injury Pllc Dba Stamp Medical, 3201 W Peoria Ave Suite C500-a, Phoenix, AZ 85029-4608 | 2014-01-28 |
| 1720649064 | Metro Medical Group LLC | Registered Nurse | 3201 W Peoria Ave Ste A105, Phoenix, AZ 85029-4609 | 2019-06-26 |
| 1356813091 | Phc Az LLC | Registered Nurse | 9318 N 95th Way Ste A-205, Scottsdale, AZ 85258-5537 | 2018-12-19 |
| 1265940092 | Cfg, Pllc | Registered Nurse | 10446 N 74th St Ste 140, Scottsdale, AZ 85258-1045 | 2018-01-15 |
| 1265545685 | Michael Albert Connolly | Registered Nurse | 7575 E Earll Dr, Scottsdale, AZ 85251-6915 | 2006-08-17 |
Please comment or provide details below to improve the information on CARON C GRANT-ELLIS.
| 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.