AUDREY LOUISE GRANT (NPI# 1194765826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194765826 |
| Entity Type | Individual |
| Full Name | AUDREY LOUISE GRANT |
| Credential | M.D. |
| Practice Address |
3636 High St Portsmouth VA 23707-3236 |
| Mailing Address |
Po Box 634706 Cincinnati OH 45263-0001 |
| Practice Telephone | 7573982200 |
| Mailing Telephone | 8652923000 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0101043829 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 170709 | 05 | |
| NC | 5900979 | 05 | |
| VA | RAILROAD MEDICARE | P00247878 | 01 |
| VA | 1194765826 | 05 | |
| NC | BLUE CROSS | 139PJ | 01 |
| KY | 64315286 | 05 | |
| NC | RAILROAD MEDICARE | P00328958 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114498722 | Audrey Grant | Dietetic Technician, Registered | 1670 Clairmont Rd Rm Gc217, Decatur, GA 30033-4004 | 2018-12-07 |
| 1538474242 | Audrey Caroline Grant | Occupational Therapist | 1801 Wentworth Rd, Baltimore, MD 21234-6128 | 2010-08-18 |
| 1083758452 | Audrey Grant | Speech-Language Pathologist | 55 Lake Ave N, Speech Language Pathology, Worcester, MA 01655-0002 | 2007-02-17 |
| 1073664199 | Audrey Nadine Grant | Physician Assistant | 5255 Loughboro Rd Nw, Washington, DC 20016-2633 | 2007-01-16 |
| Street Address |
3636 HIGH ST |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23707-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396739942 | Joan L Redd | Physical Medicine & Rehabilitation | 3636 High St, Portsmouth, VA 23707-3236 | 2005-09-08 |
| 1265048060 | Dillon Mccarvill | Registered Nurse | 3636 High St, Portsmouth, VA 23707-3236 | 2020-09-17 |
| 1437769627 | Kenita Murray | Registered Nurse | 3636 High St, Portsmouth, VA 23707-3236 | 2020-08-03 |
| 1043835101 | Ashleigh Wiggins | Registered Nurse | 3636 High St, Portsmouth, VA 23707-3236 | 2020-06-14 |
| 1518582188 | Angelo Ambridge | Nurse Anesthetist, Certified Registered | 3636 High St, Portsmouth, VA 23707-3236 | 2020-06-10 |
| 1003439548 | Kristen Evette Brown | Nurse Anesthetist, Certified Registered | 3636 High St, Portsmouth, VA 23707-3236 | 2020-05-19 |
| 1912558602 | Starleeka Latasha Roberts | Registered Nurse | 3636 High St, Portsmouth, VA 23707-3236 | 2019-09-24 |
| 1487208989 | Maryview Hospital | Clinical Medical Laboratory | 3636 High St, Portsmouth, VA 23707-3236 | 2019-08-01 |
| 1326501487 | Magdalys Ortiz | Clinical Nurse Specialist | 3636 High St, Portsmouth, VA 23707-3236 | 2019-04-07 |
| 1629543129 | Lynda Carol Marroletti | Nurse Practitioner | 3636 High St, Portsmouth, VA 23707-3236 | 2018-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
| 1528627965 | Amy M Baker | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 | 2019-06-10 |
| 1033774625 | Himani Bhasin | Student in an Organized Health Care Education/Training Program | 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 | 2019-05-08 |
| 1851854442 | Emma Daymond | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f, Portsmouth, VA 23707 | 2019-04-10 |
| 1407329543 | Heart Harmony Home Health and Services | Home Health | 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 | 2019-01-10 |
| 1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
| 1316485196 | Melinda Macy | Occupational Therapy Assistant | 314 Florida Ave, Portsmouth, VA 23707 | 2017-02-01 |
| 1831526045 | Anointed and Blessed Home Health Care, LLC | Home Health | 806 Loudoun Ave, Portsmouth, VA 23707 | 2013-10-02 |
| 1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
| 1750444741 | Wal-mart Stores East, Lp | Technician/Technologist | 1098 Fredrick Blvd, Portsmouth, VA 23707 | 2006-12-19 |
| Find all providers in zip 23707 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508183963 | Jeffrey Clarence Hope | Emergency Medicine | 333 Borthwick Ave Ste 100, Portsmouth, NH 03801 | 2010-04-26 |
| 1861450405 | Kelley A Hails | Emergency Medicine | 114 Corporate Drive, Seacoast Rejuvenation Ctr, Portsmouth, NH 03801 | 2006-05-03 |
| 1912978743 | Wayne Blackburn Wheeler | Emergency Medicine | 1610 28th St, Apt 621, Portsmouth, OH 45662-2641 | 2006-01-30 |
| 1730159179 | Guido Francisco Valdes | Emergency Medicine | 620, John Paul Jones Circle, Portsmouth, VA 23708 | 2006-01-26 |
| 1588642680 | Jeffrey David Lightfoot | Emergency Medicine | 219 Chesapeake Ave, Portsmouth, VA 23704-1607 | 2006-01-09 |
| 1396276986 | Samantha Ward | Emergency Medicine | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2017-03-24 |
| 1962885061 | Joshua Pendl | Emergency Medicine | 1805 27th St, Portsmouth, OH 45662-2640 | 2015-07-07 |
| 1053791459 | Brandon Larrington | Emergency Medicine | 1805 27th St, Portsmouth, OH 45662-2640 | 2015-06-02 |
| 1598156689 | William David Bianchi | Emergency Medicine | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2015-02-10 |
| 1154730182 | Amanda Paden | Emergency Medicine | 1805 27th St, Portsmouth, OH 45662-2640 | 2014-08-04 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23707 |
Please comment or provide details below to improve the information on AUDREY LOUISE GRANT.
| 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.