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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
1100 W 6th Ave, Gary, IN 464021711 | 2198854264 |
Street Address |
6050 STERLING CREEK RD |
City | PORTAGE |
State | IN |
Zip Code | 46368-7752 |
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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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 |
Find all providers in zip 46368 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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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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.