Active NPI
Vivian Grider, PROTHETIST
- Prosthetics Case Management
- Madison, AL
National Provider Identifier
1881937530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 194418
- Practice address
- 304 Bridgefield CT
Madison, AL 35758-6849 - Phone
- (256) 348-9106
- Fax
- (256) 722-0507
- NPI assigned
- Apr 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 194418 | AL | Primary |
Addresses
Primary practice location
304 Bridgefield CT
Madison, AL 35758-6849
Mailing address
304 Bridgefield CT
Madison, AL 35758-6849
Phone (256) 348-9106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 194418 | AL | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364774400000",
"number": "1881937530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 BRIDGEFIELD CT",
"city": "MADISON",
"state": "AL",
"postal_code": "357586849",
"telephone_number": "256-348-9106",
"fax_number": "256-722-0507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 BRIDGEFIELD CT",
"city": "MADISON",
"state": "AL",
"postal_code": "357586849",
"telephone_number": "256-348-9106",
"fax_number": "256-722-0507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIDER",
"first_name": "VIVIAN",
"name_prefix": "Miss",
"credential": "PROTHETIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-01",
"last_updated": "2013-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "AL",
"license": "194418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.