ALYSSA GRUBBS (NPI# 1669831525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669831525 |
Entity Type | Individual |
Full Name | ALYSSA GRUBBS |
Credential | CED |
Practice Address |
516 Loughborough Ave Saint Louis MO 63111-2727 |
Mailing Address |
2524 Country Pointe Ln Wentzville MO 63385-5433 |
Practice Telephone | 3143531349 |
Mailing Telephone | 6362933965 |
Enumeration Date | 2016-02-19 |
Last Update Date | 2016-02-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | MO | Student, Health Care |
Street Address |
516 LOUGHBOROUGH AVE |
City | SAINT LOUIS |
State | MO |
Zip Code | 63111-2727 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992291660 | Ebony Cannon | Behavior Technician | 7700 Minosotta Ave, St.louis, MO 63111 | 2018-07-06 |
1811310212 | Danny Brown | Home Health | 5328 Virginia, Saint Louis, MO 63111 | 2014-01-22 |
1548387681 | Raymond Joseph Skosky | Dentist | 5530 Virginia Avenue, Saint Louis, MO 63111 | 2007-03-23 |
1972666782 | Diane P Hamill | Optometrist | 1012 Loughborough Commons, St. Louis, MO 63111 | 2006-12-19 |
1073673828 | Bethesda Long Term Care, Inc. | Custodial Care Facility | 4431 South Broadway, St. Louis, MO 63111 | 2006-12-11 |
1669542668 | Anna D Naumovich | Internal Medicine | 5205 South Grand Ave, St Louis, MO 63111 | 2006-11-08 |
1417040114 | Tony Thien Tang | Internal Medicine | 4675 South Grand Blvd., St. Louis, MO 63111 | 2006-10-02 |
1790736171 | Robert Clarence Egan | Surgery | 3535 South Jefferson Ste 101, Ste 101, St Louis, MO 63111 | 2006-05-12 |
1790340438 | Marco Samuel Garcia | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111 | 2019-05-08 |
1154717593 | Nucrown, LLC | Optometrist | 1012 Loughborough Commons, Saint Louis, MO 63111 | 2015-04-13 |
Find all providers in zip 63111 |
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 |
---|---|---|---|---|
1245845908 | Ali Hamzehloo | Student in an Organized Health Care Education/Training Program | 1155 Appleseed Ln Unit D, Saint Louis, MO 63132-3239 | 2020-09-10 |
1114539137 | Brooke Marissa Tubbs | Student in an Organized Health Care Education/Training Program | 5135 Redstone Rd, Saint Louis, MI 48880-9602 | 2020-08-20 |
1508475245 | Irfan Yasin | Student in an Organized Health Care Education/Training Program | 1402 S Grand Blvd Dept Of, Saint Louis, MO 63104-1004 | 2020-07-29 |
1457978231 | Katherine Coates | Student in an Organized Health Care Education/Training Program | 4534 Olive St Apt 306, Saint Louis, MO 63108-1869 | 2020-06-29 |
1184248437 | Catherine Gaines | Student in an Organized Health Care Education/Training Program | 362 S Maple Ave, Saint Louis, MO 63119-3824 | 2020-06-02 |
1922620947 | Nicole Werner | Student in an Organized Health Care Education/Training Program | 9669 Amona Ct, Saint Louis, MO 63123-6535 | 2020-05-13 |
1043831787 | Reed Welch | Student in an Organized Health Care Education/Training Program | 1501 Fairmount Ave, Saint Louis, MO 63139-3628 | 2020-05-05 |
1437779097 | Victoria Emanuelson | Student in an Organized Health Care Education/Training Program | 4048 Cleveland Ave Apt 3w, Saint Louis, MO 63110-3958 | 2020-04-23 |
1831727502 | Kiran Ashok Patel | Student in an Organized Health Care Education/Training Program | 4050 W Pine Blvd Apt 3311b, Saint Louis, MO 63108-3294 | 2020-03-30 |
1699301507 | Morgann Madill | Student in an Organized Health Care Education/Training Program | 4144 De Tonty St Apt 1d, Saint Louis, MO 63110-2511 | 2020-03-23 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63111 |
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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.