SHREE L MCGRUDER (NPI# 1972136661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972136661 |
| Entity Type | Individual |
| Full Name | SHREE L MCGRUDER |
| Practice Address |
321 Cassidy St Oceanside CA 92054-5314 |
| Practice Telephone | 7607212171 |
| Mailing Telephone | 7607212171 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
321 CASSIDY ST |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92054-5314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750462248 | Patricia Tapia | Counselor | 321 Cassidy St, Oceanside, CA 92054-5314 | 2006-10-18 |
| 1700486867 | Katie Mae E. Bradbury | Counselor | 321 Cassidy St, Oceanside, CA 92054-5314 | 2020-10-28 |
| 1841803418 | Danielle Mullen | Counselor | 321 Cassidy St, Oceanside, CA 92054-5314 | 2020-08-24 |
| 1669083242 | Michelle Terazawa | Student in an Organized Health Care Education/Training Program | 321 Cassidy St, Oceanside, CA 92054-5314 | 2020-08-16 |
| 1083223507 | Everett Manuel Fryman | Counselor | 321 Cassidy St, Oceanside, CA 92054-5314 | 2020-07-30 |
| 1902432735 | Phitchayaphak Bollig | Marriage & Family Therapist | 321 Cassidy St, Oceanside, CA 92054-5314 | 2020-03-12 |
| 1669007589 | Amanda Ferrell | Counselor | 321 Cassidy St, Oceanside, CA 92054-5314 | 2020-03-11 |
| 1588298236 | Leah A Yeshnik | Student in an Organized Health Care Education/Training Program | 321 Cassidy St, Oceanside, CA 92054-5314 | 2020-03-02 |
| 1912531161 | Andrea Mulder | Counselor | 321 Cassidy St, Oceanside, CA 92054-5314 | 2020-02-26 |
| 1316581499 | Tabitha Hernandez | Counselor | 321 Cassidy St, Oceanside, CA 92054-5314 | 2019-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369987 | Crownview Telehealth Instiute LLC | Community/Behavioral Health | 315 North Clementine Street, Oceanside, CA 92054 | 2020-09-02 |
| 1992353585 | Janell Katherine Dulaney | Student in an Organized Health Care Education/Training Program | 738 S Tremont St, Oceanside, CA 92054 | 2019-08-28 |
| 1295201986 | North County Psychology Apc | Clinical Neuropsychologist | 2204 S. El Camino Real, #305, Oceanside, CA 92054 | 2018-10-19 |
| 1437638947 | Amy Joanne Buckner | Student in an Organized Health Care Education/Training Program | 2204 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-08-07 |
| 1285112458 | Alique Bedikian | Counselor | 1100 Sportfisher Dr, Oceanside, Oceanside, CA 92054 | 2018-07-31 |
| 1053809244 | Thrive Medical Specialists, A Professional Corporation | Physical Medicine & Rehabilitation | 322 N Nevada St., Oceanside, CA 92054 | 2018-04-24 |
| 1982133377 | Maegan Casanova | Psychologist | 1213 Herby Way, Oceanside, CA 92054 | 2017-06-08 |
| 1588109466 | Ryan Purvis | Counselor | 2812 Oceanside Blvd, Oceanside, CA 92054 | 2016-12-30 |
| 1629512595 | Ahi Vein and Vascular Specialists Inc A Professional Medical Corp | Clinic/Center | 2125 South El Camino Real, Suite 210, Oceanside, CA 92054 | 2016-12-13 |
| 1437531175 | Ginger Burleson | Counselor | 1110 Sportfisher Drive, Oceanside, CA 92054 | 2015-06-18 |
| Find all providers in zip 92054 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164066163 | Luis Alejandro Ulloa | Peer Specialist | 2122 S El Camino Real Ste 102, Oceanside, CA 92054-6209 | 2019-11-01 |
| 1750858833 | Erin P Gilligan-morin | Peer Specialist | 321 Cassidy St, Oceanside, CA 92054-5314 | 2018-10-27 |
| 1518453497 | Sally Talafaia Moimoi | Peer Specialist | 2122 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-07-03 |
| 1750887477 | Lorissa Jeneffer Prescott | Peer Specialist | 3998 Vista Way Ste E, Oceanside, CA 92056-4514 | 2018-04-02 |
| 1518403013 | Sharon Murguia | Peer Specialist | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2017-01-09 |
| 1417309220 | Angel Maclean | Peer Specialist | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2016-07-05 |
| 1013373950 | Michelle Long | Peer Specialist | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2016-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
| 1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
| 1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
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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.