CARLIE ALEXANDRA GRIGG (NPI# 1891209870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891209870 |
| Entity Type | Individual |
| Full Name | CARLIE ALEXANDRA GRIGG |
| Practice Address |
495 Sw Ramsey Ave Grants Pass OR 97527-5681 |
| Practice Telephone | 3852274152 |
| Practice Fax Number | 3852274152 |
| Mailing Telephone | 5414766644 |
| Mailing Fax Number | 5414725673 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2019-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA185615 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
495 SW RAMSEY AVE |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-5681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700991 | Thomas R Brandes | Internal Medicine | 495 Sw Ramsey Ave, Grants Pass, OR 97527 | 2005-06-16 |
| 1700403292 | Lauren Packard | Physician Assistant | 495 Sw Ramsey Ave, Grants Pass, OR 97527-5681 | 2020-06-30 |
| 1619590221 | Andrew Mark Tijerina | Physician Assistant | 495 Sw Ramsey Ave, Grants Pass, OR 97527-5681 | 2020-05-19 |
| 1679922819 | Cady Knight | Nurse Practitioner | 495 Sw Ramsey Ave, Grants Pass, OR 97527-5681 | 2016-06-08 |
| 1891103743 | Tara Wendlandt | Nurse Practitioner | 495 Sw Ramsey Ave, Grants Pass, OR 97527-5681 | 2014-07-23 |
| 1477801330 | Satnam Singh Lali | Family Medicine | 495 Sw Ramsey Ave, Grants Pass, OR 97527-5681 | 2012-08-27 |
| 1699001776 | Sean Patrick Dunn | Podiatrist | 495 Sw Ramsey Ave, Grants Pass, OR 97527-5681 | 2009-10-26 |
| 1134453418 | Benjamin Moss | Physician Assistant | 495 Sw Ramsey Ave, Grants Pass, OR 97527-5681 | 2009-09-20 |
| 1104071224 | John David Wilson | Family Medicine | 495 Sw Ramsey Ave, Grants Pass, OR 97527-5681 | 2008-11-18 |
| 1639343189 | Kori L Hunt | Family Medicine | 495 Sw Ramsey Ave, Grants Pass, OR 97527-5681 | 2008-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548763048 | Jaclyn Loner | Physician Assistant | 1021 Ne 6th St, Grants Pass, OR 97526-1113 | 2018-03-12 |
| 1386762912 | Jonathan Edward Nordheim | Physician Assistant | 625 Sw Ramsey Ave, Grants Pass, OR 97527-5808 | 2007-03-26 |
| 1619590221 | Andrew Mark Tijerina | Physician Assistant | 495 Sw Ramsey Ave, Grants Pass, OR 97527-5681 | 2020-05-19 |
| 1194378232 | Laura Lee Thrasher | Physician Assistant | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2019-07-18 |
| 1073063772 | Beau J Shelton | Physician Assistant | 537 Union Ave, Grants Pass, OR 97527-5543 | 2016-10-06 |
| 1760839328 | Amber Rachael Koonce | Physician Assistant | 1075 Grandview Ave Ste 200, Grants Pass, OR 97527-5118 | 2016-05-24 |
| 1679939102 | Michele Cambron | Physician Assistant | 702 Sw Ramsey Ave, Suite 224, Grants Pass, OR 97527-5858 | 2016-01-13 |
| 1417326984 | Kristina Marie Wallace | Physician Assistant | 537 Union Ave, Second Floor, Grants Pass, OR 97527-5543 | 2015-09-15 |
| 1578952537 | Kenneth Durrant | Physician Assistant | 537 Union Ave, Second Floor, 2a, Grants Pass, OR 97527-5543 | 2015-01-14 |
| 1619379815 | Jason Michael Van-brunt | Physician Assistant | 625 Sw Ramsey Ave, Suite A, Grants Pass, OR 97527-5808 | 2014-09-18 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
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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.