GRACEY MAE EDEN (NPI# 1639634785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639634785 |
| Entity Type | Individual |
| Full Name | GRACEY MAE EDEN |
| Practice Address |
712 Laurel Hill Rd Bangor PA 18013-5564 |
| Practice Telephone | 5203438221 |
| Mailing Telephone | 5203438221 |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
712 LAUREL HILL RD |
| City | BANGOR |
| State | PA |
| Zip Code | 18013-5564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104298140 | Blue Valley Vision LLC | Eyewear Supplier (Equipment, not the service) | 455 Blue Valley Dr, Bangor, PA 18013 | 2015-10-29 |
| 1588064554 | Roxanne Decesare | Reflexologist | 429 South First St, Bangor, PA 18013 | 2014-08-27 |
| 1467781708 | Shadys Rest | Preferred Provider Organization | 1004 W Juniata Street, Allentown, PA 18013 | 2009-12-16 |
| 1912911371 | Richard J Weaver | Chiropractor | 83 Bangor Junction Road, Blue Valley Plaza, Bangor, PA 18013 | 2006-07-28 |
| 1104373265 | Heavenly Vision | Technician/Technologist | 455 Blue Valley Dr, Bangor, PA 18013 | 2016-09-07 |
| 1881059293 | Timothy James Velekei Sr. | Technician/Technologist | 455 Blue Valley Dr, Bangor, PA 18013 | 2015-12-30 |
| 1629492608 | Elizabeth Kostura | Counselor | 51 Market Street, Bangor, PA 18013 | 2014-02-11 |
| 1518261593 | Carol Augusta Olzinski | Social Worker | 51 Market Street, Bangor, PA 18013 | 2011-01-05 |
| 1073846390 | Christa Robinson | Specialist/Technologist | 19 Columbus St, Apt 3, Roseto, PA 18013 | 2009-09-18 |
| 1326096587 | Matthew Nicholas Sabatine Jr. | Dentist | 137 Broadway, Bangor, PA 18013 | 2006-05-04 |
| Find all providers in zip 18013 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376020412 | Stephen Mark Lovell Jr. | Student in an Organized Health Care Education/Training Program | 35 Silver Rd, Bangor, ME 04401-5826 | 2018-07-22 |
| 1255843603 | Meghan Elizabeth Frank | Student in an Organized Health Care Education/Training Program | 582 Grandview Ave, Bangor, ME 04401-3232 | 2017-10-25 |
| 1417474362 | Seok Yoon | Student in an Organized Health Care Education/Training Program | 113 1/2 Pine St, Bangor, ME 04401-5213 | 2017-08-23 |
| 1295258499 | Paul Eyong Besong | Student in an Organized Health Care Education/Training Program | 750 Unoin Street, Bangor, ME 04401 | 2017-07-19 |
| 1477817682 | Patrice Aime Nya | Student in an Organized Health Care Education/Training Program | 201 Husson Ave Apt U12, Bangor, ME 04401-3168 | 2012-07-02 |
| 1144484296 | Supriya Gupta | Student in an Organized Health Care Education/Training Program | 302 Husson Avenue, Suite 1, Bangor, ME 04401 | 2008-07-17 |
| 1063030534 | Cassandra Terri Lynn Butt | Student in an Organized Health Care Education/Training Program | 895 Union St Ste 12, Bangor, ME 04401-3054 | 2020-07-10 |
| 1023636503 | Dane Wanniarachige | Student in an Organized Health Care Education/Training Program | 895 Union St Ste 12, Bangor, ME 04401-3054 | 2020-07-10 |
| 1477171585 | Katie Helen Lockhart | Student in an Organized Health Care Education/Training Program | 895 Union St Ste 12, Bangor, ME 04401-3054 | 2020-07-07 |
| 1013534312 | Callaghan Joseph Gillis | Student in an Organized Health Care Education/Training Program | 895 Union St Ste 12, Bangor, ME 04401-3054 | 2020-07-02 |
| Find all providers in BANGOR | ||||
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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.