KYLE GROSHANS (NPI# 1336751627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336751627 |
| Entity Type | Individual |
| Full Name | KYLE GROSHANS |
| Credential | PMHNP |
| Practice Address |
8366 Craine Dr Manlius NY 13104-9422 |
| Practice Telephone | 6312753531 |
| Mailing Telephone | 6312753531 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
403120-01 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8366 CRAINE DR |
| City | MANLIUS |
| State | NY |
| Zip Code | 13104-9422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790334423 | Cindy Gleason | Technician | 8450 Number 2 Rd East, Manlius, NY 13104 | 2019-09-05 |
| 1275009995 | Tristan Karel Martin | Marriage & Family Therapist | 4500 Pewter Lane, 8&9, Manlius, NY 13104 | 2018-10-20 |
| 1184141715 | Walgreen Co | Pharmacy | 315 Fayette St Ste 3, Manlius, NY 13104 | 2017-08-24 |
| 1518233386 | Edward Theodore Schroeder | Internal Medicine | 8345 Vassar Drive, Manlius, NY 13104 | 2012-03-27 |
| 1790052017 | Megan Lynn Perioli | Counselor | 8219 Market Pl Bldg 10, Manlius, NY 13104 | 2011-12-01 |
| 1194979088 | Erin Elizabeth Kolceski | Speech-Language Pathologist | 8141 Old Sunridge Dr, Manlius, NY 13104 | 2008-11-05 |
| 1700037314 | Peter H Emery Jr. | Pharmacist | 3215 Pompey Center Road, Manlius, NY 13104 | 2008-10-02 |
| 1093987216 | Jason David Henderson | Dentist | 8179 Cazenovia Rd., Manlius, NY 13104 | 2008-03-27 |
| 1154517019 | Cynthia E Cavanaugh | Registered Nurse | 2968 Gulf Rd, Manlius, NY 13104 | 2007-09-24 |
| 1487853537 | Harold Jason Rodman | Dentist | 28 Lincklaen St, Cazenovia, NY 13104 | 2007-07-17 |
| Find all providers in zip 13104 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
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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.