ALYSSA HOWARD GRANT (NPI# 1366808826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366808826 |
Entity Type | Individual |
Full Name | ALYSSA HOWARD GRANT |
Other Name | ALYSSA NICOLE HOWARD |
Credential | PA-C |
Practice Address |
2880 Tricom St North Charleston SC 29406-9171 |
Practice Telephone | 8437975050 |
Practice Fax Number | 8437973633 |
Mailing Telephone | 8437975050 |
Mailing Fax Number | 8437973633 |
Enumeration Date | 2016-01-13 |
Last Update Date | 2020-03-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 2440 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2440 | SC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | ARCIS HEALTHCARE, LLC GROUP MEDICARE PTAN | D043 | 01 |
SC | ARCIS HEALTHCARE, LLC GROUP NPI | 1902246077 | 01 |
SC | ARCIS HEALTHCARE, LLC GROUP MEDICAID NO. | GP6337 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205318334 | Alyssa Lee Grant | Physical Therapist | 850 Baxter Blvd, Portland, ME 04103-4901 | 2018-09-05 |
Street Address |
2880 TRICOM ST |
City | NORTH CHARLESTON |
State | SC |
Zip Code | 29406-9171 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699774034 | Jason Kenneth Trigiani | Physician Assistant | 2880 Tricom St, North Charleston, SC 29406-9171 | 2005-07-19 |
1134739071 | Marielle Elizabeth Mclaurin | Occupational Therapist | 2880 Tricom St, North Charleston, SC 29406-9171 | 2020-08-05 |
1396249058 | Alice Buist Smith | Occupational Therapist | 2880 Tricom St, North Charleston, SC 29406-9171 | 2018-03-19 |
1538685870 | Julianna Whitfield Smith | Nurse Practitioner | 2880 Tricom St, North Charleston, SC 29406-9171 | 2017-08-18 |
1932572617 | Keir Sittloh | Physical Therapist | 2880 Tricom St, Suite B, North Charleston, SC 29406-9171 | 2015-11-04 |
1952709008 | John Martin Covington | Physician Assistant | 2880 Tricom St, North Charleston, SC 29406-9171 | 2014-12-05 |
1073910881 | Tony Nelson Mccurry Jr. | Physician Assistant | 2880 Tricom St, North Charleston, SC 29406-9171 | 2014-11-21 |
1417357336 | Morgan Conde | Physician Assistant | 2880 Tricom St, North Charleston, SC 29406-9171 | 2014-08-27 |
1144636192 | Kylie Smith | Registered Nurse | 2880 Tricom St, North Charleston, SC 29406-9171 | 2014-07-09 |
1114345626 | Christopher Thomas Battista | Orthopaedic Surgery | 2880 Tricom St, North Charleston, SC 29406-9171 | 2014-04-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
Find all providers in zip 29406 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962737684 | Lauren Shelton Davis | Physician Assistant | 9150-b Medcom Street, North Charleston, SC 29406-9171 | 2009-10-14 |
1699774034 | Jason Kenneth Trigiani | Physician Assistant | 2880 Tricom St, North Charleston, SC 29406-9171 | 2005-07-19 |
1043685522 | Carly Runey | Physician Assistant | 2695 Elms Plantation Blvd, Suite A, North Charleston, SC 29406-7132 | 2015-12-09 |
1871967596 | Lauren Emily Barsan | Physician Assistant | 2695 Elms Plantation Blvd, Suite B, North Charleston, SC 29406-7132 | 2015-11-18 |
1750769014 | Emily Anna Haynes | Physician Assistant | 2233 Northwoods Blvd, North Charleston, SC 29406-4007 | 2015-05-07 |
1952709008 | John Martin Covington | Physician Assistant | 2880 Tricom St, North Charleston, SC 29406-9171 | 2014-12-05 |
1043617327 | Laura Cain | Physician Assistant | 8740 Rivers Ave, North Charleston, SC 29406-9211 | 2014-12-02 |
1417357336 | Morgan Conde | Physician Assistant | 2880 Tricom St, North Charleston, SC 29406-9171 | 2014-08-27 |
1336490739 | Justin Tyler Runey | Physician Assistant | 2880 Tricom St, North Charleston, SC 29406-9171 | 2012-09-25 |
1699000471 | Claire Hamer Kirkpatrick | Physician Assistant | 5880 Rivers Ave, North Charleston, SC 29406-6053 | 2009-10-12 |
Find all providers in NORTH CHARLESTON |
City | NORTH CHARLESTON |
Zip Code | 29406 |
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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.