TABITHA A GRADY (NPI# 1700334448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700334448 |
| Entity Type | Individual |
| Full Name | TABITHA A GRADY |
| Practice Address |
1775 Broken Arrow Creek Rd Riverside AL 35135-2006 |
| Practice Telephone | 2053824774 |
| Mailing Telephone | 2053824774 |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1775 BROKEN ARROW CREEK RD |
| City | RIVERSIDE |
| State | AL |
| Zip Code | 35135-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738600 | Margie E Sims | Technician | 15 Lonesome Pine Rd, Riverside, AL 35135 | 2019-09-04 |
| 1265589568 | Rick V Mitchell | Dentist | 11012 Hwy 78 East, Riverside, AL 35135 | 2007-01-05 |
| 1124212436 | Blaklie Blevins | Speech-Language Pathologist | 310 Koa Rd, Riverside, AL 35135-1006 | 2007-08-29 |
| 1922563147 | Alpha Vascular Screenings LLC | Physiological Laboratory | 190 Highland Blvd, Riverside, AL 35135-1050 | 2019-02-01 |
| 1205219490 | Rhonda Hoover | Occupational Therapy Assistant | 510 Traci Cir, Riverside, AL 35135-1459 | 2015-07-07 |
| 1205240728 | Casey Williams | Counselor | 232 Hollys Ln, Riverside, AL 35135-1831 | 2014-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104990 | Joseph Chua | Registered Nurse | 11350 River Knoll Dr, Riverside, CA 92505-5148 | 2020-11-05 |
| 1982205118 | Sherae Kami Williams | Advanced Practice Midwife | 19727 Rotterdam St, Riverside, CA 92508-6184 | 2020-11-04 |
| 1922609106 | Cerotto, Inc | Durable Medical Equipment & Medical Supplies | 1660 Chicago Ave Ste M9, Riverside, CA 92507-2052 | 2020-11-04 |
| 1689274508 | Najeh Hamed | Custodial Care Facility | 5336 Bardwell Ave, Riverside, CA 92506-1517 | 2020-10-29 |
| 1538768064 | Express Carenow, Inc | Internal Medicine | 4100 Central Ave Ste 101, Riverside, CA 92506-2930 | 2020-10-26 |
| 1053910604 | Amici Hospice, Inc. | Hospice Care, Community Based | 7121 Magnolia Ave Ste F, Riverside, CA 92504-3805 | 2020-10-23 |
| 1306445903 | Enerje Wellness Licenced Clinical Social Worker | Social Worker | 7121 Magnolia Ave Ste O, Riverside, CA 92504-3805 | 2020-10-23 |
| 1992304729 | Pacifica Riverside Sl Lp | Alzheimer Center (Dementia Center) | 6280 Clay St, Riverside, CA 92509-6005 | 2020-10-22 |
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336748201 | Aveeva Hospice - South | Hospice Care, Community Based | 3741 Merced Dr Ste K, Riverside, CA 92503-4956 | 2020-10-22 |
| Find all providers in RIVERSIDE | ||||
| 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 |
|---|---|---|---|---|
| 1447870365 | Monica Sameh Hanna | Student in an Organized Health Care Education/Training Program | University of California Riverside School of Medicine, 14350 Meridian Pkwy # 2, Riverside, CA 92518-3035 | 2020-04-21 |
| 1861011876 | Monika Ellyn Garcia | Student in an Organized Health Care Education/Training Program | 14350 Meridian Parkway Box #2, Riverside, CA 92518 | 2020-04-09 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1114553765 | Pamela Picchi | Student in an Organized Health Care Education/Training Program | 111 Prescott Ave, Riverside, RI 02915-1944 | 2020-03-16 |
| 1538794094 | Jason Washington | Student in an Organized Health Care Education/Training Program | 4301 La Sierra Ave Apt 50, Riverside, CA 92505-2906 | 2020-03-05 |
| 1144860404 | Brian Jisu Shin | Student in an Organized Health Care Education/Training Program | 8293 Perla Dr, Riverside, CA 92504-2419 | 2020-01-14 |
| 1609415116 | Broderich Alexander Durley | Student in an Organized Health Care Education/Training Program | 14235 Oakley Dr, Riverside, CA 92503-7236 | 2019-12-31 |
| 1861031353 | Alex Tovar | Student in an Organized Health Care Education/Training Program | 16901 Clementine Ct, Riverside, CA 92503-6935 | 2019-12-31 |
| 1477192979 | Gregory David White | Student in an Organized Health Care Education/Training Program | 7965 Los Arboles Pl, Riverside, CA 92504-3530 | 2019-12-31 |
| 1407497076 | Guadalupe Rocha | Student in an Organized Health Care Education/Training Program | 10135 Hillsborough Ln, Riverside, CA 92503-1018 | 2019-10-03 |
| Find all providers in RIVERSIDE | ||||
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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.