MEAD SERRA (NPI# 1144700873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144700873 |
| Entity Type | Individual |
| Full Name | MEAD SERRA |
| Practice Address |
2808 North Ave Fl 3 Grand Junction CO 81501-5155 |
| Mailing Address |
715 Horizon Dr Ste 225 Grand Junction CO 81506-8743 |
| Practice Telephone | 9702416023 |
| Practice Fax Number | 9706837277 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2808 NORTH AVE FL 3 |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-5155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902187800 | Jana Carole Bauman | Counselor | 2808 North Ave Fl 3, Grand Junction, CO 81501-5155 | 2011-09-06 |
| 1912563693 | Colorado West Regional Mental Health, Inc. | Clinic/Center | 2808 North Ave Fl 3, Grand Junction, CO 81501-5155 | 2019-05-17 |
| 1679038095 | Sophia Octavia Abrams | Peer Specialist | 2808 North Ave Fl 3, Grand Junction, CO 81501-5155 | 2019-02-11 |
| 1699252098 | Cameron John Macdonald | Peer Specialist | 2808 North Ave Fl 3, Grand Junction, CO 81501-5155 | 2018-07-27 |
| 1174000681 | Ashley Michelle Hatch | Peer Specialist | 2808 North Ave Fl 3, Grand Junction, CO 81501-5155 | 2018-07-26 |
| 1316433956 | Lini Mills | Peer Specialist | 2808 North Ave Fl 3, Grand Junction, CO 81501-5155 | 2018-07-06 |
| 1356833685 | Joseph David Kuper | Peer Specialist | 2808 North Ave Fl 3, Grand Junction, CO 81501-5155 | 2018-06-01 |
| 1285124677 | Jacqueline Suzanne Ehlers | Peer Specialist | 2808 North Ave Fl 3, Grand Junction, CO 81501-5155 | 2018-05-11 |
| 1033627831 | Madison Kohls | Student in an Organized Health Care Education/Training Program | 2808 North Ave Fl 3, Grand Junction, CO 81501-5155 | 2018-01-15 |
| 1972021426 | Sarah Marie Rogers | Peer Specialist | 2808 North Ave Fl 3, Grand Junction, CO 81501-5155 | 2017-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| 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 |
|---|---|---|---|---|
| 1568079283 | Jessica Adele Page | Student in an Organized Health Care Education/Training Program | 420 Broken Arrow Dr Unit A, Grand Junction, CO 81504-7635 | 2020-09-27 |
| 1679189831 | Mita White | Student in an Organized Health Care Education/Training Program | 2413 Brandys Ct, Grand Junction, CO 81507-1631 | 2020-09-22 |
| 1578177119 | Callen Marie Young | Student in an Organized Health Care Education/Training Program | 4 Merlot Ct, Grand Junction, CO 81507-1246 | 2020-09-01 |
| 1699389262 | Blythe Crow | Student in an Organized Health Care Education/Training Program | 551 Grand Ave Ste 304, Grand Junction, CO 81501-2694 | 2020-09-01 |
| 1255945895 | Emyleigh Opat | Student in an Organized Health Care Education/Training Program | 345 W Kennedy Ave Apt 12, Grand Junction, CO 81505-7192 | 2020-09-01 |
| 1245843085 | Brenna Ann Sanislo | Student in an Organized Health Care Education/Training Program | 3230 Beechwood St, Grand Junction, CO 81506-4833 | 2020-08-30 |
| 1134732076 | Keelin R Schaffrath | Student in an Organized Health Care Education/Training Program | 2753 Unaweep Ave, Grand Junction, CO 81503-2091 | 2020-08-29 |
| 1548873730 | Danielle Storm Pelletier | Student in an Organized Health Care Education/Training Program | 2237 N 20th St, Grand Junction, CO 81501-6707 | 2020-08-26 |
| 1235759820 | Dana Patton | Student in an Organized Health Care Education/Training Program | St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 | 2020-04-23 |
| 1336797117 | Tiffany Dawn Petersen | Student in an Organized Health Care Education/Training Program | 2006 N 13th St, Grand Junction, CO 81501-8504 | 2019-08-26 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
Please comment or provide details below to improve the information on MEAD SERRA.
| 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.