DIXIE GRISHAM (NPI# 1912510850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912510850 |
| Entity Type | Individual |
| Full Name | DIXIE GRISHAM |
| Practice Address |
1525 W Vermijo Ave Colorado Springs CO 80904-4096 |
| Mailing Address |
4311 11th Ave Ne Ste 200 Seattle WA 98105-6367 |
| Practice Telephone | 8014257451 |
| Mailing Telephone | 2066164001 |
| Enumeration Date | 2020-08-29 |
| Last Update Date | 2020-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | EMS-ID | 2453-8564-6404 | 01 |
| Street Address |
1525 W VERMIJO AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80904-4096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084133 | Tclllc | Behavioral Analyst | 2822 W Cucharras Street, Colorado Springs, CO 80904 | 2020-08-17 |
| 1770131971 | Jill Case Brown | Technician | 3002 W. Kiowa St., Colorado Springs, CO 80904 | 2019-08-30 |
| 1457888232 | Marcia W. Soule Dobson | Counselor | 3510 Temple Drive, Colorado Springs, CO 80904 | 2017-05-11 |
| 1184163610 | Home Healthcare Staffing Solutions Inc | Home Health | 3117 Chambers Way, Colorado Springs, CO 80904 | 2017-02-16 |
| 1104242700 | Optumcare Colorado Springs, LLC | Non-Pharmacy Dispensing Site | 600 S 21st Street, Ste 100, Colorado Springs, CO 80904 | 2014-03-07 |
| 1639595382 | Jessyca Sonia Sterner | Counselor | 2514 Colorado Ave, Suite 200, Colorado Springs, CO 80904 | 2014-03-05 |
| 1508291956 | Diane Chisesi | Anesthesiology | 2517 B. King Street, Colorado Springs, CO 80904 | 2013-09-04 |
| 1124363635 | Piotr Bieniek | Physical Therapy Assistant | 1133 Adams Dr, Colorado Springs, CO 80904 | 2012-12-10 |
| 1235480526 | Barry G. Zile | Physical Therapy Assistant | 1685 S. 21st Street, Colorado Springs, CO 80904 | 2012-09-26 |
| 1326397076 | Christie Sheffer | Midwife | 2524 W. Colorado Avenue, Suite 209, Colorado Springs, CO 80904 | 2012-09-09 |
| Find all providers in zip 80904 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609395 | Emily Nearing | Student in an Organized Health Care Education/Training Program | 2425 N Wahsatch Ave, Colorado Springs, CO 80907-6942 | 2020-11-03 |
| 1487251104 | Nyla Reese | Student in an Organized Health Care Education/Training Program | 7223 Peachleaf Dr, Colorado Springs, CO 80925-9499 | 2020-10-06 |
| 1447869656 | Sherrie Jansky | Student in an Organized Health Care Education/Training Program | 1622 Woodpark Dr, Colorado Springs, CO 80951-2748 | 2020-07-24 |
| 1992332019 | Karolina Paulsen | Student in an Organized Health Care Education/Training Program | 335 Roxbury Cir, Colorado Springs, CO 80906-7233 | 2020-03-26 |
| 1811527575 | Kristina Knight | Student in an Organized Health Care Education/Training Program | 740 Herbglen Ct, Colorado Springs, CO 80906-7692 | 2020-01-22 |
| 1962967489 | Jeremy Baldes | Student in an Organized Health Care Education/Training Program | 7823 Swiftrun Rd, Colorado Springs, CO 80920-7123 | 2019-02-08 |
| 1396213450 | Tyler Rains | Student in an Organized Health Care Education/Training Program | 217 Steven Dr, Colorado Springs, CO 80911-1553 | 2018-11-07 |
| 1265938849 | Gretchen Lynn Charlton | Student in an Organized Health Care Education/Training Program | 1314 Eagle View Dr, Colorado Springs, CO 80909-2916 | 2018-04-03 |
| 1376043976 | Melissa Schwartz | Student in an Organized Health Care Education/Training Program | 3205 N Academy Blvd Ste 130, Colorado Springs, CO 80917-5152 | 2018-02-20 |
| 1619322047 | Nicole Mcallister | Student in an Organized Health Care Education/Training Program | 15115 Steinbeck Ln, Colorado Springs, CO 80921-3532 | 2016-05-04 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80904 |
Please comment or provide details below to improve the information on DIXIE GRISHAM.
| 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.