MS. KIMBERLY GRANA (NPI# 1538539614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538539614 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY GRANA |
| Other Name | KIMBERLY HOSKING/MCCLURE |
| Credential | NP |
| Practice Address |
311 W Lincoln St Ste 101 Belleville IL 62220-1902 |
| Mailing Address |
311 W Lincoln St Ste 201 Belleville IL 62220-1902 |
| Practice Telephone | 6182223200 |
| Practice Fax Number | 6182223203 |
| Mailing Telephone | 6182223200 |
| Mailing Fax Number | 6182223203 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2018-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209013529 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2015021523 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
311 W LINCOLN ST STE 101 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366433286 | Janet P. Rudderham | Physician Assistant | 311 W Lincoln St Ste 101, Belleville, IL 62220-1902 | 2005-10-31 |
| 1942675673 | Sheena D Eslinger | Nurse Practitioner | 311 W Lincoln St Ste 101, Belleville, IL 62220-1902 | 2015-12-07 |
| 1558786152 | Krista L. Miller | Nurse Anesthetist, Certified Registered | 311 W Lincoln St Ste 101, Belleville, IL 62220-1902 | 2014-02-19 |
| 1447590328 | Metro East Gastroenterology Ltd. | Internal Medicine | 311 W Lincoln St Ste 101, Belleville, IL 62220-1902 | 2013-02-28 |
| 1033308820 | Shona Jo Quick | Nurse Practitioner | 311 W Lincoln St Ste 101, Belleville, IL 62220-1902 | 2007-10-17 |
| 1558382911 | Aaron B. Greenspan | Internal Medicine | 311 W Lincoln St Ste 101, Belleville, IL 62220-1902 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124414354 | Vida Sarkodie | Nurse Practitioner | 34 Brighton Ave, Belleville, NJ 07109-1230 | 2015-04-14 |
| 1922368836 | Ma Cristina Valencia Gonzaga | Nurse Practitioner | 725 Joralemon St Unit 59, Belleville, NJ 07109-1482 | 2012-05-24 |
| 1881760437 | Nivia G Rowe | Nurse Practitioner | 77 Newark Avenue, Jersey Rehab Pa, Belleville, NJ 07109 | 2006-11-27 |
| 1285022442 | Bellecare Medical Services Pllc | Nurse Practitioner | 25 Owen St, Belleville, MI 48111-2921 | 2014-12-22 |
| 1033548045 | Michelle Veronica Jacob | Nurse Practitioner | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2013-11-11 |
| 1043650955 | Stephanie C Mccarthy | Nurse Practitioner | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2013-06-25 |
| 1699088161 | Vincent Ayako | Nurse Practitioner | 303 Belmont Ave, Belleville, NJ 07109-1103 | 2010-07-26 |
| 1962724393 | Kyung H Chu | Nurse Practitioner | 1 Clara Maass Dr Ste 200, Belleville, NJ 07109-3550 | 2010-02-26 |
| 1295062271 | Connie Louise Robben | Nurse Practitioner | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2009-11-11 |
| 1982837027 | Margaret P. Ryan | Nurse Practitioner | 1 Clara Maass Drive, Clara Maass Medical Center, Belleville, NJ 07109 | 2009-08-24 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
Please comment or provide details below to improve the information on MS. KIMBERLY GRANA.
| 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.