MS. JACQUELINE MICHELLE GRENIER (NPI# 1770832727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770832727 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE MICHELLE GRENIER |
| Credential | RN NP |
| Practice Address |
340 Main St South Bay Mental Health Center Worcester MA 01608-1604 |
| Practice Telephone | 5087914976 |
| Practice Fax Number | 5087916723 |
| Mailing Telephone | 5087914976 |
| Mailing Fax Number | 5087916723 |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2013-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
239270 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336414705 | Jacqueline Ann Grenier | Registered Nurse | 20001 42nd Ave, Bayside, NY 11361-1872 | 2012-03-18 |
| Street Address |
340 MAIN ST SOUTH BAY MENTAL HEALTH CENTER |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780660712 | Karen Lynn St.laurent | Chiropractor | 340 Main St, Ste 510, Worcester, MA 01608-1694 | 2005-12-21 |
| 1033775838 | Simeon Akwasi Asamoah | Counselor | 340 Main St, Worcester, MA 01608-1604 | 2019-05-16 |
| 1306330816 | Alexis Gibbons | Student in an Organized Health Care Education/Training Program | 340 Main St, Worcester, MA 01608-1604 | 2018-06-18 |
| 1033617154 | Benedicta Boateng-abeka | Case Manager/Care Coordinator | 340 Main St, Worcester, MA 01608-1604 | 2018-01-23 |
| 1588170906 | Tatiana King | Social Worker | 340 Main St, Worcester, MA 01608-1604 | 2017-12-21 |
| 1972018083 | Eileen Ann Silva | Counselor | 340 Main St, Worcester, MA 01608-1604 | 2017-12-12 |
| 1952814626 | Dianna Mclaurin | Community Health Worker | 340 Main St, Worcester, MA 01608-1604 | 2017-11-15 |
| 1265944052 | Cameron Michael Mccurdy | Counselor | 340 Main St, 819, Worcester, MA 01608 | 2017-11-02 |
| 1548770571 | Tina Kim Le | Community/Behavioral Health | 340 Main St, Worcester, MA 01608-1604 | 2017-10-04 |
| 1346768439 | Hiliary Lynn Cutress | Marriage & Family Therapist | 340 Main St, Worcester, MA 01608-1604 | 2017-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
| 1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
| 1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
| 1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
| 1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
| 1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
| Find all providers in zip 01608 | ||||
| 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 |
|---|---|---|---|---|
| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1871110221 | Jillian Bradley | Nurse Practitioner | 507 Plantation St Apt 519, Worcester, MA 01605-4326 | 2020-07-01 |
| 1407393010 | John Job | Nurse Practitioner | 130 Lincoln St Ste 6, Worcester, MA 01605-2430 | 2017-01-21 |
| 1457701807 | Jee Yeah Park | Nurse Practitioner | 162 Chandler Street, Worcester, MA 01609-2924 | 2016-06-16 |
| 1174137434 | Grace Njeri Ngumi | Nurse Practitioner | 30 Park Ave, Worcester, MA 01605-3945 | 2020-09-03 |
| 1518578426 | Aldona Angele Vainius | Nurse Practitioner | 255 Park Ave Ste 804, Worcester, MA 01609-1984 | 2020-08-13 |
| 1518505973 | Jessica Lynn Weissman | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2019-12-17 |
| 1063970234 | Edith N/a Claros | Nurse Practitioner | 19 Tacoma St, Worcester, MA 01605-3516 | 2019-03-06 |
| 1639633530 | Yui Kitayama | Nurse Practitioner | 72 Jaques Ave, Worcester, MA 01610-2476 | 2019-01-24 |
| 1710469549 | Kevin Phillipp Nardone | Nurse Practitioner | 435 Shrewsbury St, Worcester, MA 01604-1689 | 2018-08-29 |
| Find all providers in WORCESTER | ||||
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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.