MS. BETH GRANT (NPI# 1861856072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861856072 |
| Entity Type | Individual |
| Full Name | MS. BETH GRANT |
| Credential | BSN, RN, PHN |
| Practice Address |
3240 Kerner Blvd San Rafael CA 94901-4840 |
| Practice Telephone | 4154736007 |
| Mailing Telephone | 4154736007 |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
840514 | CA | Nursing Service Providers |
| Street Address |
3240 KERNER BLVD |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093073876 | Bay Area Community Resources, Inc | Community/Behavioral Health | 3240 Kerner Blvd, San Rafael, CA 94901-4840 | 2012-04-30 |
| 1891140034 | Marsha Elizabeth Grant | Registered Nurse | 3240 Kerner Blvd, San Rafael, CA 94901-4840 | 2016-04-25 |
| 1326411281 | Danielle Hiser | Registered Nurse | 3240 Kerner Blvd, San Rafael, CA 94901-4840 | 2015-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558678631 | Donna West | Registered Nurse | 899 Northgate Dr Ste 415, San Rafael, CA 94903-3667 | 2010-09-09 |
| 1902045701 | Mirta M Cuevas | Registered Nurse | 899 Northgate Dr Ste 100, San Rafael, CA 94903-3664 | 2009-02-18 |
| 1891934907 | Shanna Marie Cronan | Registered Nurse | 899 Northgate Dr, 104, San Rafael, CA 94903-3636 | 2009-02-12 |
| 1861639734 | Rebecca Koski Siiteri | Registered Nurse | 3260 Kerner Blvd, San Rafael, CA 94901-4861 | 2009-01-14 |
| 1942482260 | Elizabeth Pope | Registered Nurse | 899 Northgate Dr, Suite 100, San Rafael, CA 94903-3636 | 2007-11-28 |
| 1326118647 | Wendy A Sanchez | Registered Nurse | 920 Grand Ave, San Rafael, CA 94901-3506 | 2006-11-08 |
| 1811078074 | Aisha Amber Ervin | Registered Nurse | 920 Grand Ave, San Rafael, CA 94901-3506 | 2006-10-17 |
| 1699855429 | Teresa Ellen Somers | Registered Nurse | 3260 Kerner Blvd, San Rafael, CA 94901-4861 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361430 | Marilyn Dormubari Sunday | Registered Nurse | 7511 Clear Lake Aly, Sacramento, CA 95829-8743 | 2020-09-16 |
| 1992315451 | Michelle Patino | Registered Nurse | 615b 2nd St, Petaluma, CA 94952-5123 | 2020-08-08 |
| 1144846080 | Paloma Beope Soriano | Registered Nurse | 4302 Valeta St, San Diego, CA 92107-1510 | 2020-06-16 |
| 1942822747 | Holly Sears Chisholm | Registered Nurse | 9619 Cuyamaca St # 19428, Santee, CA 92071-2674 | 2020-05-14 |
| 1952937658 | Mariam Gbaty Soumahoro | Registered Nurse | 3800 Silver Spur Way, Sacramento, CA 95841-4411 | 2020-03-14 |
| 1194350967 | Letisha Kathleen Kingsbury | Registered Nurse | 724 Granada Dr, Vista, CA 92083-4731 | 2020-03-11 |
| 1215576236 | Jocelyn Raquel Raedeker-freitas | Registered Nurse | 3165 B St, San Diego, CA 92102-2359 | 2019-12-23 |
| 1861030710 | Michelle Galang | Registered Nurse | 658 Rainbow Dr, Chula Vista, CA 91911-6844 | 2019-12-11 |
| 1023655172 | David Delgado | Registered Nurse | 27425 Bolandra Ct, Temecula, CA 92591-6123 | 2019-12-09 |
| 1104473297 | Shokoufeh Shokri | Registered Nurse | 2951 Mainway Dr, Los Alamitos, CA 90720-4646 | 2019-08-22 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
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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.