Terrace Leigh Grove

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN146232 Issued in OH

Practice address

54913 County Road 123
Coshocton, OH 43812-9587

Phone

(740) 202-2495

NPI assigned

Jan 14, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515888000000",
    "number": "1932617826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54913 COUNTY ROAD 123",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438129587",
            "telephone_number": "740-202-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54913 COUNTY ROAD 123",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438129587",
            "telephone_number": "740-202-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "TERRACE",
        "middle_name": "LEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-14",
        "last_updated": "2018-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN146232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryalice Grewell, RN
• Serena Adrianne Grewell
• Wilma L Griffith, MEDICAL ASSISTANT
• Lindsey Griffiths
• Timothy Gross
• Chad E Guess, D.C.
• Timothy Thomas Guilliams
• Betty A Gwinn-Hall, CNP
• Robert B Gwinn, DO
• Ahmed A Habib, MD

• Licensed Practical Nurse in Coshocton, OH
• Providers in Coshocton, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.