SERENA GRAINGE (NPI# 1205351731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205351731 |
Entity Type | Individual |
Full Name | SERENA GRAINGE |
Credential | EMT-B |
Practice Address |
3677 River Rd Youngstown NY 14174-9700 |
Practice Telephone | 7166280496 |
Mailing Telephone | 7166280496 |
Enumeration Date | 2017-08-05 |
Last Update Date | 2017-08-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 146N00000X | Emergency Medical Technician, Basic | 431762 | NY | Emergency Medical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | EMT | 431762 | 01 |
Street Address |
3677 RIVER RD |
City | YOUNGSTOWN |
State | NY |
Zip Code | 14174-9700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285163089 | Andrea Rose Downie | Registered Nurse | 1334 Swann Road, Youngstown, NY 14174 | 2017-06-06 |
1457612525 | Melissa M. Ruta | Specialist | 461 Riverview Dr., Youngstown, NY 14174 | 2012-06-05 |
1376697375 | Lewiston Porter Central School District | Local Education Agency (LEA) | 4601 Creek Rd., Youngstown, NY 14174 | 2007-01-23 |
1417908419 | Rama Bojedla | Internal Medicine | 120 Lockport St, Youngstown, NY 14174-1006 | 2006-05-14 |
1730369679 | Laurie Ann Hewitt | Pharmacist | 214 Lockport St, Youngstown, NY 14174-1008 | 2007-11-08 |
1568571883 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 214 Lockport Street, Youngstown, NY 14174-1008 | 2006-08-30 |
1871124842 | Emily Alyssa Le | Pharmacist | 214 Lockport St, Youngstown, NY 14174-1008 | 2020-01-29 |
1154641512 | Nitasha Khurana | Pharmacist | 214 Lockport St, Youngstown, NY 14174-1008 | 2010-06-09 |
1285892612 | Lisa Nasca | Acupuncturist | 445 Main St, Youngstown, NY 14174-1016 | 2008-06-02 |
1043480106 | Glenda Sue Christian | Point of Service | 3134 Oak Ave, Youngstown, NY 14174-1061 | 2008-03-05 |
Find all providers in zip 14174 |
Taxonomy Code | 146N00000X |
Grouping | Emergency Medical Service Providers |
Classification | Emergency Medical Technician, Basic |
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033723226 | Kaelee Bouleris | Emergency Medical Technician, Basic | 203 County Route 70, Stillwater, NY 12170-2000 | 2020-09-03 |
1245869981 | Weli Sanbul Aden I | Emergency Medical Technician, Basic | 214 E James St Apt 6, Syracuse, NY 13206-2565 | 2020-04-04 |
1932738762 | Yael Beer | Emergency Medical Technician, Basic | 6411 99th St Apt 107, Rego Park, NY 11374-2625 | 2020-04-03 |
1881223972 | Annanina Corsica | Emergency Medical Technician, Basic | 435 E 30th St, New York, NY 10016-8304 | 2020-04-02 |
1578191888 | John Eccleston | Emergency Medical Technician, Basic | 15 Duer Ln, Staten Island, NY 10301-3014 | 2020-03-31 |
1821633868 | Samantha Chang | Emergency Medical Technician, Basic | 10 Happy Acres Dr, Shirley, NY 11967-3015 | 2019-11-13 |
1477024909 | Justin Unislawski | Emergency Medical Technician, Basic | 4 Van Wyck St, Gloversville, NY 12078 | 2018-12-10 |
1356850820 | Gavin John Maclachlan | Emergency Medical Technician, Basic | 115 Downing Rd, De Witt, NY 13214-1547 | 2017-09-27 |
1912422304 | Alliyah Okhamvilaysack | Emergency Medical Technician, Basic | 3255 Route 39, Bliss, NY 14024-9730 | 2017-08-07 |
1447774336 | Bryana Vishion | Emergency Medical Technician, Basic | 141 Witmer Rd, North Tonawanda, NY 14120-2455 | 2017-08-01 |
Find all providers with the same taxonomy |
City | YOUNGSTOWN |
Zip Code | 14174 |
Please comment or provide details below to improve the information on SERENA GRAINGE.
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.