MS. KIMBERLY GILLIAM GRANT (NPI# 1871569855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871569855 |
Entity Type | Individual |
Full Name | MS. KIMBERLY GILLIAM GRANT |
Credential | PA-C |
Practice Address |
6107 N 1st St Ste 103 Fresno CA 93710-5460 |
Practice Telephone | 5594324963 |
Mailing Telephone | 5594324963 |
Enumeration Date | 2006-02-28 |
Last Update Date | 2020-05-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9109580 | FL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
TL1232 | SC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA642 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 0576APA | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1590 Freedom Blvd, Suite A, Florence, SC 295056040 | 8436291791 | 8436291794 |
1718 Mockingbird Ln, Lakeland, FL 33801 | 8632721550 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902428568 | Kimberly J Grant | Nurse Practitioner | 8680 Baymeadows Rd E Apt 1413, Jacksonville, FL 32256-4002 | 2020-05-17 |
1336789353 | Kimberly Renee Grant | Occupational Therapist | 4878 W Park Cir, Atlanta, GA 30349-2049 | 2020-01-07 |
1447634969 | Kimberly Grant | Speech-Language Pathologist | 9102 N Lilley Rd, #249, Plymouth, MI 48170-4644 | 2015-07-14 |
1487953352 | Kimberly Elizabeth Grant | Physical Therapy Assistant | 6134 Bridlewood Ln, Charlotte, NC 28215-1612 | 2011-03-17 |
1538681234 | Kimberly Elizabeth Grant | Pharmacist | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2017-07-13 |
1154691079 | Kimberly Javon Grant | Massage Therapist | 211 Pleasant Home Rd, Suite F-1, Augusta, GA 30907-0518 | 2012-01-09 |
1992082150 | Kimberly Michelle Grant | Nurse Practitioner | 1115 E. Ridgewood St., Orlando, FL 32803 | 2011-11-15 |
1811273063 | Kimberly S. Grant | Counselor | 276 Main St, Lewiston, ME 04240-7024 | 2011-11-01 |
1841419496 | Kimberly Elise Grant | Occupational Therapist | 455 N 3rd St, Suite 200, Phoenix, AZ 85004-3924 | 2007-04-24 |
Street Address |
6107 N 1ST ST STE 103 |
City | FRESNO |
State | CA |
Zip Code | 93710-5460 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831185230 | Karen Ledee Lewis | Internal Medicine | 6107 N 1st St Ste 103, Fresno, CA 93710-5460 | 2005-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
Find all providers in zip 93710 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881972164 | Pamela Oliver | Physician Assistant | 1187 E Herndon Ave Ste 106, Fresno, CA 93720-3166 | 2011-08-03 |
1750505061 | Bounmy - Pinyasone | Physician Assistant | 141 N. Clark Street, Suite A, Fresno, CA 93701-2124 | 2007-04-11 |
1134253180 | Joseph John Contreras | Physician Assistant | 6065 N 1st St, Suite 102, Fresno, CA 93710-5469 | 2007-03-14 |
1083653729 | Sheri Lynn Oswald | Physician Assistant | 1646 E Herndon Ave, Suite 106, Fresno, CA 93720-3380 | 2006-06-06 |
1447247820 | Miriam Levitt | Physician Assistant | 4770 W Herndon Ave, Fresno, CA 93722-8401 | 2005-09-30 |
1285257063 | Blake Phillip Dreihaus | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-27 |
1710509013 | Katherine Marie Pate | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2020-05-11 |
1982187100 | Theresa Ann Dwyer | Physician Assistant | 2335 E Kashian Ln Ste 240, Fresno, CA 93701-2211 | 2018-09-13 |
1639699853 | Gabrielle Melissa Powell | Physician Assistant | 2210 E Illinois Ave Ste 201, Fresno, CA 93701-2184 | 2017-06-20 |
1891220323 | Amy Maier | Physician Assistant | 2823 Fresno St, Fresno, CA 93721-1324 | 2017-04-21 |
Find all providers in FRESNO |
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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.