MRS. TINA D GRUNER (NPI# 1801060991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801060991 |
| Entity Type | Individual |
| Full Name | MRS. TINA D GRUNER |
| Credential | CDE |
| Practice Address |
480 Ne A St Madras OR 97741-1844 |
| Practice Telephone | 5414753882 |
| Practice Fax Number | 5414750610 |
| Mailing Telephone | 5414753882 |
| Mailing Fax Number | 5414750610 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2010-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
00618978 | DC | Dietary & Nutritional Service Providers |
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
00618978 | DC | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | ADA MEMBERSHIP | 00618978 | 01 |
| OR | 151024 | 05 |
| Street Address |
480 NE A ST |
| City | MADRAS |
| State | OR |
| Zip Code | 97741-1844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376584011 | Leonard Dewitt Savage | Family Medicine | 480 Ne A St, Madras, OR 97741-1844 | 2006-06-10 |
| 1316365992 | Leslie Mccalister | Family Medicine | 480 Ne A St, Madras, OR 97741-1844 | 2014-04-01 |
| 1740570266 | Jinnell Ann Lewis | Family Medicine | 480 Ne A St, Madras, OR 97741-1844 | 2011-04-18 |
| 1770801235 | Aimee Marie Neill | Family Medicine | 480 Ne A St, Madras, OR 97741-1844 | 2010-05-08 |
| 1265659510 | William P Irvine | Family Medicine | 480 Ne A St, Madras, OR 97741-1844 | 2007-04-19 |
| 1932227105 | Mountain View Hospital District | Family Medicine | 480 Ne A St, Madras, OR 97741-1844 | 2007-03-27 |
| 1679637201 | Nicholas T Turek | Family Medicine | 480 Ne A St, Madras, OR 97741-1844 | 2006-12-20 |
| 1932207164 | Shilo Renae Tippett | Psychologist | 480 Ne A St, Madras, OR 97741-1844 | 2006-09-20 |
| 1760403109 | William C Claridge | Family Medicine | 480 Ne A St, Madras, OR 97741-1844 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750868196 | Orie Made | Counselor | 185 Nw D St, Suite D&e, Madras, OR 97741 | 2018-07-27 |
| 1831514603 | Robbin Webber Foster | Social Worker | 470 Ne 'a' St., St. Charles Hospice, Madras, OR 97741 | 2014-03-03 |
| 1184055931 | Sue Lillian Dixon | Nurse Practitioner | 715 S.w. 4th St., Ste.c, Madras, OR 97741 | 2013-12-04 |
| 1255769667 | Aaron Michael Lee | Physician Assistant | 76 N.e. 12th St., Madras, OR 97741 | 2013-10-22 |
| 1114276045 | April A Henselman Campanella | Dental Hygienist | 376 Ne Oak Street, Madras, OR 97741 | 2012-09-06 |
| 1487809091 | Bestcare Treatment Services | Substance Abuse Rehabilitation Facility | 125 Sw C Street, Madras, OR 97741 | 2008-11-24 |
| 1144417437 | Assisted Living Concepts Inc | Assisted Living Facility | 470 Ne Oak Street, Madras, OR 97741 | 2007-10-01 |
| 1518074327 | Janice K Monroe | Nurse Practitioner | 910 Sw Hwy 97, Suite 101, Madras, OR 97741 | 2006-08-25 |
| 1215966759 | Mark M Mullins | Chiropractor | 28 Ne 12th St, Madras, OR 97741 | 2006-06-30 |
| 1356389894 | St. Charles Health System, Inc. | Emergency Medicine | 470 Ne A Street, Madras, OR 97741 | 2006-06-04 |
| Find all providers in zip 97741 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760971246 | Kohleen E Ervin | Dietitian, Registered | 916 Sw 17th St Ste 100, Redmond, OR 97756-2572 | 2018-05-09 |
| 1659802650 | Paula J. Staab | Dietitian, Registered | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2900 | 2017-03-22 |
| 1811237563 | Jennifer Fritzsche | Dietitian, Registered | 703 Ne Hancock St, Portland, OR 97212-3955 | 2013-02-18 |
| 1003109042 | Kara Marie Odiaga | Dietitian, Registered | 703 Ne Hancock St, Portland, OR 97212-3955 | 2011-05-24 |
| 1144547878 | Kay L Harris | Dietitian, Registered | 760 Golf View Dr Unit 200, Medford, OR 97504-9685 | 2010-04-20 |
| 1417282682 | Lois Amy Tobin | Dietitian, Registered | 6902 Se Lake Rd, Suite 302, Milwaukie, OR 97267-2148 | 2009-10-06 |
| 1447423132 | Therese L Olsen | Dietitian, Registered | 930 Sw Abbey St, Newport, OR 97365-4820 | 2008-04-02 |
| 1467593111 | Jessie Pavlinac | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Ohsu - Uhs18, Portland, OR 97239-3011 | 2007-02-08 |
Please comment or provide details below to improve the information on MRS. TINA D GRUNER.
| 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.