AMISHA MCGRUDER (NPI# 1538790274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538790274 |
| Entity Type | Individual |
| Full Name | AMISHA MCGRUDER |
| Credential | LPN |
| Practice Address |
529 Martin Luther King Blvd Flint MI 48502-2002 |
| Practice Telephone | 8102387226 |
| Mailing Telephone | 8102387226 |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703122806 | MI | Nursing Service Providers |
| Street Address |
529 MARTIN LUTHER KING BLVD |
| City | FLINT |
| State | MI |
| Zip Code | 48502-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861837502 | Shanta Natre Smith | Counselor | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2013-05-08 |
| 1881291045 | Caylin Ann Dawson | Counselor | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-10-01 |
| 1649880246 | Meghan Peake | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
| 1265042857 | Dana Witzka | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
| 1558971143 | Raina Patterson | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
| 1811507494 | John Parmann | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
| 1033729637 | Chad Andis | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
| 1487264073 | Chad Gospel Payne | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
| 1306456918 | Christopher Duncan | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-08-07 |
| 1396354114 | Tameka Jones | Peer Specialist | 529 Martin Luther King Blvd, Flint, MI 48502-2002 | 2020-07-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003453267 | Patricia Ann Love | Peer Specialist | Training& Treatment Innovations,inc, 929 Stevenson St, Flint, MI 48502 | 2019-12-06 |
| 1104474329 | First Trinity Missionary Baptist Church | Public Health or Welfare | 1226 Beach St, Flint, MI 48502 | 2019-08-30 |
| 1851861447 | Mia Riggs | Peer Specialist | 932 Beach St., Flint, MI 48502 | 2018-11-27 |
| 1366948937 | Stephanie Laverne Mcgowan | Counselor | 129 E. Third Street, Flint, MI 48502 | 2018-04-03 |
| 1801304498 | Faith Ellen Gardner | Student in an Organized Health Care Education/Training Program | 529 Mlk, Flint, MI 48502 | 2018-01-17 |
| 1154857423 | Carolyn Denise Scott | Counselor | 529 M.l. King, Jr. Ave., Flint, MI 48502 | 2017-05-05 |
| 1922556406 | Kenya Hameed | Clinical Neuropsychologist | 111 East Court St, Suite 1b-1, Flint, MI 48502 | 2016-09-14 |
| 1518319367 | Leann Littlejohn | Counselor | 529 Ml King Ave., Flint, MI 48502 | 2016-07-05 |
| 1093185712 | Jayme Gene Wagner | Counselor | 529 M. L. King, Jr. Ave, Flint, MI 48502 | 2015-10-07 |
| 1508260753 | Brittany Hopkins | Counselor | 529 Marting Luther King Jr Ave, Flint, MI 48502 | 2014-10-17 |
| Find all providers in zip 48502 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454467 | Coydria Denise Spencer | Licensed Practical Nurse | 1910 Roselawn Dr, Flint, MI 48504-2086 | 2020-07-15 |
| 1831719061 | Damon Pendygraft | Licensed Practical Nurse | 1925 Lincoln Dr, Flint, MI 48503-4718 | 2020-04-17 |
| 1508496175 | Taquna Scales | Licensed Practical Nurse | 440 Buckingham Ave, Flint, MI 48507-2707 | 2020-01-22 |
| 1447701974 | Stephanie Bery | Licensed Practical Nurse | 6024 Hopkins Rd, Flint, MI 48506-1656 | 2016-10-19 |
| 1770945875 | Claudia Smith | Licensed Practical Nurse | 1822 Mcphail St, Flint, MI 48503-4367 | 2016-03-28 |
| 1215399373 | Anegelina Schellinger | Licensed Practical Nurse | 4265 N Vassar Rd, Flint, MI 48506-1711 | 2016-03-27 |
| 1497116610 | Patricia Ann Thomas | Licensed Practical Nurse | 1024 River Valley Dr, Apt. 1040, Flint, MI 48532-2920 | 2016-03-15 |
| 1760847065 | Phyllis Hill | Licensed Practical Nurse | G3380 Beecher Rd Ste A, Flint, MI 48532-3647 | 2015-12-31 |
| 1659744894 | Katherine Howard | Licensed Practical Nurse | 592 Honey Locust Ln, Flint, MI 48506-5212 | 2015-11-10 |
| 1285016600 | Stephanie Hartfield | Licensed Practical Nurse | 921 E 7th St, Flint, MI 48503-2777 | 2015-06-22 |
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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.