MOLLY ELLIOTT MEADOWS GRUNDY


Address: 1701 S Creasy Ln, Lafayette, IN 47905-4972
Phone: 7654283448

MOLLY ELLIOTT MEADOWS GRUNDY (NPI# 1538795604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538795604
Entity Type Individual
Full Name MOLLY ELLIOTT MEADOWS GRUNDY
Credential ACCNS
Practice Address 1701 S Creasy Ln
Lafayette
IN 47905-4972
Mailing Address 600 W Main St
Crawfordsville
IN 47933-1626
Practice Telephone 7654283448
Mailing Telephone 7659181154
Enumeration Date 2020-03-20
Last Update Date 2020-03-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SC0200X Clinical Nurse Specialist
Specialization: Critical Care Medicine
28187462A IN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1701 S CREASY LN
City LAFAYETTE
State IN
Zip Code 47905-4972

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497756563 Douglas W Rookstool Internal Medicine 1701 S Creasy Ln, Lafayette, IN 47905-4972 2005-08-10
1730787029 Angela Strawmyer-grever Nurse Practitioner 1701 S Creasy Ln, Lafayette, IN 47905-4972 2020-10-09
1619590338 Katelyn Jane Haver Physician Assistant 1701 S Creasy Ln, Lafayette, IN 47905-4972 2020-05-28
1912520420 Tosha Mosby Occupational Therapist 1701 S Creasy Ln, Lafayette, IN 47905-4972 2020-05-19
1538780747 Betty Ann Demko Registered Nurse 1701 S Creasy Ln, Lafayette, IN 47905-4972 2020-04-28
1073148219 Stacy Ann Bible Pharmacist 1701 S Creasy Ln, Lafayette, IN 47905-4972 2020-03-09
1295371805 Kelsey Clair Haas Physician Assistant 1701 S Creasy Ln, Lafayette, IN 47905-4972 2019-11-19
1811559800 Colton James Saroff Physician Assistant 1701 S Creasy Ln, Lafayette, IN 47905-4972 2019-07-01
1275193518 Rebecca Gray Occupational Therapist 1701 S Creasy Ln, Lafayette, IN 47905-4972 2019-06-18
1467913996 Erica Nicole Geisler Physical Medicine & Rehabilitation 1701 S Creasy Ln, Lafayette, IN 47905-4972 2019-03-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538719893 Elements Counseling LLC Social Worker 115 N. Farabee Drive, Lafayette, IN 47905 2019-09-18
1134596869 Indiana Dental Sleep Therapy LLC Dentist 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 2015-08-28
1255750899 Emily S Miller Physical Therapist 1701 Creasy Ln, Lafayette, IN 47905 2014-04-10
1073876215 Nathan Webster Dentist 1530 Kossuth St., Lafayette, IN 47905 2012-06-22
1578848370 Mark Jin Kim Pharmacist 1801 South St., Lafayette, IN 47905 2011-10-13
1700177185 Shannon Tawn Harris Speech-Language Pathologist 8900 Cobbler Lane, Lafayette, IN 47905 2011-04-20
1508164484 David Thomas Beine Specialist/Technologist 1321 Unity Pl Ste A, Lafayette, IN 47905 2011-03-02
1447569538 Deidre Dudley Nurse Practitioner 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 2010-10-07
1548493067 Unity Healthcare, LLC Podiatrist 750 Park East Blvd, Unit 4, Lafayette, IN 47905 2009-09-01
1073762969 Lynette Marie Alexander Nurse Practitioner 5500 St Rd. 38 East, Lafayette, IN 47905 2008-09-16
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Taxonomy Information

Taxonomy Code 364SC0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891359139 Vincent William Holly Clinical Nurse Specialist 601 W 2nd St, Bloomington, IN 47403-2317 2019-04-23
1588130108 Diane Marie Doty Clinical Nurse Specialist 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 2018-10-22
1275974131 Melissa Carol Pietraszak Clinical Nurse Specialist 5454 Hohman Ave, Hammond, IN 46320-1931 2013-07-08
1831473685 Virginia Elizabeth Hyland Clinical Nurse Specialist 4320 Fir Street, Suite 320, East Chicago, IN 46312-3076 2011-09-28
1174642763 Laura Rodriguez Clinical Nurse Specialist 5800 Broadway, Suite A-j, Merrillville, IN 46410-2601 2007-03-28
1912056482 Carol Marie Budgin Clinical Nurse Specialist 4320 Fir St, Ste 320, East Chicago, IN 46312-3076 2007-01-10

Competitor

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City LAFAYETTE
Zip Code 47905

Improve Information

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Dataset Information

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.

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