ROSHANDA GRAYSON-THOMAS


Address: 6050 Sterling Creek Rd, Portage, IN 46368-7752
Phone: 2192197638

ROSHANDA GRAYSON-THOMAS (NPI# 1619415874) 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) 1619415874
Entity Type Individual
Full Name ROSHANDA GRAYSON-THOMAS
Credential APRN
Practice Address 6050 Sterling Creek Rd
Portage
IN 46368-7752
Mailing Address 5857 Carnation Ave
Portage
IN 46368-2093
Practice Telephone 2192197638
Mailing Telephone 2193318063
Enumeration Date 2017-02-08
Last Update Date 2020-11-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 28201839A IN Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
PENDING IN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1100 W 6th Ave, Gary, IN 464021711 2198854264

Office Location

Street Address 6050 STERLING CREEK RD
City PORTAGE
State IN
Zip Code 46368-7752

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972596401 Leslie Diane Armiger Social Worker 6050 Sterling Creek Rd, Portage, IN 46368-7752 2005-08-30
1306452248 Misty Hatch Counselor 6050 Sterling Creek Rd, Portage, IN 46368-7752 2020-09-16
1780215574 Michael Barrera Counselor 6050 Sterling Creek Rd, Portage, IN 46368-7752 2020-01-30
1053889915 Audrey Simone Dawson Optometrist 6050 Sterling Creek Rd, Portage, IN 46368-7752 2018-11-08
1073012498 Michael Paul Plebanski Counselor 6050 Sterling Creek Rd, Portage, IN 46368-7752 2018-02-12
1457865651 Megan K Walker Nurse Practitioner 6050 Sterling Creek Rd, Portage, IN 46368-7752 2017-11-27
1134650013 Christine Mary Kazlauskas Pediatrics 6050 Sterling Creek Rd, Portage, IN 46368-7752 2017-03-23
1285085241 L. Allen Grecula Counselor 6050 Sterling Creek Rd, Portage, IN 46368-7752 2016-06-30
1376942383 Raheel Khatri Dentist 6050 Sterling Creek Rd, Portage, IN 46368-7752 2014-08-14
1124434584 Sarah L Brentlinger Nurse Practitioner 6050 Sterling Creek Rd, Portage, IN 46368-7752 2014-07-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366041121 Latresa Renee Sims Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1777 Armstrong St. Suite C., Portage, IN 46368 2020-10-22
1831576693 Bishara Robert Khoury Family Medicine 3545 Arbor Blvd Ste E, Portage, IN 46368 2015-04-30
1962813535 Diane Farrington Pharmacist 6050 Us Hwy 6, Portage, IN 46368 2014-05-16
1588827562 Jennifer Ann Rumpel Allergy & Immunology 6375 Us Highway 6 Ste C, Portage, IN 46368 2008-07-09
1588822688 Total Renal Care Inc Clinic/Center 5823 Us Highway 6, Portage, IN 46368 2008-05-27
1235321480 Michael Wendahl Physical Therapist 3691 Willowcreek Road, Suite 100, Portage, IN 46368 2007-08-13
1679663603 Stephen V Headley Family Medicine 3283 Willowcreek Rd, Portage, IN 46368 2006-10-13
1730276486 Robert Tan Ang Psychiatry & Neurology 3156 Willowcreek Road, Portage, IN 46368 2006-10-06
1013029883 Primary Care PC Family Medicine 3125 Willowcreek Road, Portage, IN 46368 2006-08-31
1104936962 Margaret Eileen Griffith Dentist 2646 Lois Street, Portage, IN 46368 2006-08-30
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1548875669 Brooke Lavignette Nurse Practitioner 1805 Summit Dr, West Lafayette, IN 47906-2231 2020-09-15
1205444775 Anu Abraham Ade Owofadeju Nurse Practitioner 8820 S Meridian St Ste 225, Indianapolis, IN 46217-6064 2020-07-21
1356959068 Indy Behavioral Health LLC Nurse Practitioner 2611 Waterfront Parkway East Dr Ste 370, Indianapolis, IN 46214-2069 2020-07-20
1942833306 Osasumwen Igbinoba Nurse Practitioner 402 Wall St Ste 23, Valparaiso, IN 46383-2567 2020-02-13
1770114118 Abbey Bolden Nurse Practitioner 929 Miller Ct, Greenfield, IN 46140-7267 2020-02-03
1376184556 Carrie Mefford Nurse Practitioner 5435 E 16th St, Indianapolis, IN 46218-4869 2019-09-30
1700430006 Lusine Vardanyan Nurse Practitioner Memorial Hospital and Health Care Center, 800 W 9th Street, Jasper, IN 47546-2514 2019-07-25
1134780851 Eric Lyakhovetsky Nurse Practitioner 327 W Saidah Rd, Bloomington, IN 47404-8965 2019-06-24
1124599394 Adria Dawn Thornburgh Nurse Practitioner 6235 Forest View Dr, Indianapolis, IN 46260-4707 2018-12-16
1033693213 Katie Marie Feeney Nurse Practitioner Riley Children's Hospital, 705 Riley Hospital Dr, Indianapolis, IN 46202 2018-09-24
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Competitor

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City PORTAGE
Zip Code 46368

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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