MS. CAROLE GRANT (NPI# 1609176882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609176882 |
| Entity Type | Individual |
| Full Name | MS. CAROLE GRANT |
| Credential | RD,LD,CNSC |
| Practice Address |
200 West Hospital Drive Whiteriver AZ 85941 |
| Mailing Address |
1081 E Cedar Ridge Run Show Low AZ 85901-7308 |
| Practice Telephone | 9283383647 |
| Mailing Telephone | 9283383647 |
| Mailing Fax Number | 9283383522 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2012-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
LD003592 | GA | Dietary & Nutritional Service Providers |
| Street Address |
200 WEST HOSPITAL DRIVE |
| City | WHITERIVER |
| State | AZ |
| Zip Code | 85941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461002 | Edgar Alan Boone | Family Medicine | 200 West Hospital Drive, Whiteriver, AZ 85941-0860 | 2005-07-18 |
| 1447871751 | Dorlette Somtia | Pharmacist | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2020-04-28 |
| 1003466236 | Zebedee Walpert | Pharmacist | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2019-09-19 |
| 1790245587 | Austin Acree | Dietitian, Registered | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2019-03-20 |
| 1275012460 | Kameron Baker | Pharmacist | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2018-08-09 |
| 1023532140 | Lia M Jasperse | Pharmacist | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2017-07-31 |
| 1104364413 | Ji Young Kim | Pharmacist | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2017-02-07 |
| 1811431612 | Emily Gaffney | Nurse Practitioner | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2016-12-13 |
| 1497205819 | Scott Peake | Nurse Practitioner | 200 West Hospital Drive, Box 860, Whiteriver, AZ 85941 | 2016-10-10 |
| 1174913487 | Andrea Shae Johnson | Nurse Practitioner | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2015-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649816778 | Benjamin Robert Bishop | Pharmacist | 200 W Hospital Road, Whiteriver, AZ 85941 | 2019-11-25 |
| 1750922308 | Christal A Brewer | Specialist/Technologist | 1 N 1st Ave, Whiteriver, AZ 85941 | 2019-10-04 |
| 1154880862 | Ivan Atole IIi | Counselor | 302 W Ponderosa St, Whiteriver, AZ 85941 | 2019-03-13 |
| 1912456732 | Jamie Baha | Counselor | 302 West Ponderosa Street, White River, AZ 85941 | 2016-09-22 |
| 1891243382 | Donna Mauree Stevens | Counselor | 302 W. Ponderosa St., Whiteriver, AZ 85941 | 2016-09-14 |
| 1811445307 | Aura Josefina Ortiz | Counselor | 302 W Ponderosa Street, Whiteriver, AZ 85941 | 2016-09-14 |
| 1891152567 | White Mountain Apache Tribe Fire and Rescue | Ambulance | 612 S. Chief Ave, Whiteriver, AZ 85941 | 2016-01-26 |
| 1528450855 | Carla Francis Turrentine | Social Worker | 249 West Ponderosa Street, Whiteriver, AZ 85941 | 2015-02-24 |
| 1477890390 | Muhammad Kanakri | Pharmacist | 200 West Whiteriver, Usphs Indian Hospital, Whitriver, AZ 85941 | 2013-01-11 |
| 1871870980 | Kathleen Wynn | Registered Nurse | 400 Apache Drive, Whiteriver, AZ 85941 | 2011-11-03 |
| Find all providers in zip 85941 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518318922 | Newmark Nutrition, LLC | Dietitian, Registered | 202 E Earll Dr Ste 425, Phoenix, AZ 85012-2649 | 2016-06-27 |
| 1750545976 | Team 83 Partners LLC | Dietitian, Registered | 6320 W Union Hills Dr., Suite 1500 B, Glendale, AZ 85308 | 2008-07-16 |
| 1366059834 | Mckenzie Millner | Dietitian, Registered | 4530 E Muirwood Dr Ste 111, Phoenix, AZ 85048-7693 | 2020-09-28 |
| 1699308460 | Golden Health Initiative Inc | Dietitian, Registered | 101 W 5th St, Tempe, AZ 85281-0400 | 2020-02-19 |
| 1225594294 | Alyssa Jeffers | Dietitian, Registered | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2019-02-14 |
| 1184167074 | Empower Health By Nutrition Pllc | Dietitian, Registered | 1210 W Davis Way, Flagstaff, AZ 86001-1201 | 2016-11-23 |
| 1508036377 | Arizona Endocrinology Center, Plc | Dietitian, Registered | 15640 N 28th Dr, Phoenix, AZ 85053-4059 | 2008-03-07 |
| 1750503900 | Diane Marie Selleck | Dietitian, Registered | 12033 Agency Rd, Parker, AZ 85344-7718 | 2007-05-03 |
| 1235246273 | Frances E Catinella | Dietitian, Registered | 140 W Speedway Blvd, Suite 100, Tucson, AZ 85705-7698 | 2006-08-24 |
| City | WHITERIVER |
| Zip Code | 85941 |
Please comment or provide details below to improve the information on MS. CAROLE GRANT.
| 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.