ANGELA MARIE GRANT (NPI# 1649822479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649822479 |
| Entity Type | Individual |
| Full Name | ANGELA MARIE GRANT |
| Credential | NP-C |
| Practice Address |
2321 E Gala St Ste 3 Meridian ID 83642-7692 |
| Mailing Address |
5715 N Duxbury Pier Ln Garden City ID 83714-5021 |
| Practice Telephone | 2088885848 |
| Practice Fax Number | 2088880884 |
| Mailing Telephone | 2089211868 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
53224 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750842282 | Angela Grant | Registered Nurse | 308 Mission Dr, Saint Ignatius, MT 59865-9676 | 2019-03-27 |
| 1508231903 | Angela D Grant | Contractor | 2439 Manhattan Blvd Ste 304, Harvey, LA 70058 | 2015-12-10 |
| 1417366543 | Angela Joy Grant | Nurse Practitioner | 1655 Bernardin Ave Ste 220, Columbia, SC 29204 | 2014-08-02 |
| 1689099731 | Angela Donnell Grant | Counselor | 5350 S Western Ave Ste 707, Oklahoma City, OK 73109-4537 | 2014-02-26 |
| 1275598567 | Angela Grant | Massage Therapist | 111 Market St Ne, Suite 108, Olympia, WA 98501-1008 | 2006-04-19 |
| Street Address |
2321 E GALA ST STE 3 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-7692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346573532 | Midvalley Healthcare Pllc | Clinic/Center | 2321 E Gala St Ste 3, Meridian, ID 83642-7692 | 2009-09-07 |
| 1649757279 | Gretchen Ruth Gayle | Nurse Practitioner | 2321 E Gala St Ste 3, Meridian, ID 83642-7692 | 2018-07-26 |
| 1487009478 | Cynthia Montgomery | Nurse Practitioner | 2321 E Gala St Ste 3, Meridian, ID 83642-7692 | 2016-04-27 |
| 1700256294 | Donald Baranco | Counselor | 2321 E Gala St Ste 3, Meridian, ID 83642-7692 | 2015-09-28 |
| 1881072288 | Shelly L. Hitt | Social Worker | 2321 E Gala St Ste 3, Meridian, ID 83642-7692 | 2015-05-18 |
| 1376850990 | Midvalley Healthcare, Pllc | Psychologist | 2321 E Gala St Ste 3, Meridian, ID 83642-7692 | 2010-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427152 | Christopher Alan Anthony Nicholas | Nurse Practitioner | 2889 N Chancery Pl, Meridian, ID 83646-7407 | 2020-11-05 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1649885534 | Auston Whitmer | Nurse Practitioner | 2203 E Ringneck St, Meridian, ID 83646-7410 | 2020-09-09 |
| 1407460157 | Kimberly N Lacap | Nurse Practitioner | 5961 Hwy 145, Meridian, MS 39301-9761 | 2020-09-01 |
| 1134733728 | Courtney S Dubose | Nurse Practitioner | 8252 Lizelia Rd, Meridian, MS 39305-8511 | 2020-09-01 |
| 1740890698 | Kimberly Parker | Nurse Practitioner | 4708 Hickory Hills Cir, Meridian, MS 39305-2440 | 2020-08-05 |
| 1396369138 | Tracy Ann Roberts | Nurse Practitioner | 3639 S Arno Ave, Meridian, ID 83642-1396 | 2020-06-06 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1285293639 | Lindsey Sand | Nurse Practitioner | 2347 E Gala St # 150, Meridian, ID 83642-4881 | 2019-06-10 |
| Find all providers in MERIDIAN | ||||
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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.