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GRAYSON ELISE COULOMBE DPM
NPI 1639921612
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 03, 2024PECOS Enrolled
10122 E 10TH ST STE 230, INDIANAPOLIS, IN 46229(317) 355-7356 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2024, Apr 3, 2024 (2 updates tracked since 2024).

About Grayson Elise Coulombe Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAYSON ELISE COULOMBE DPM (NPI 1639921612) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (41000490A) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639921612
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGRAYSON ELISE COULOMBECredential: DPM
Location Address10122 E 10TH ST STE 230Indianapolis, IN 46229-2664
Mailing Address10122 E 10th St Ste 230Indianapolis, IN 46229-2664 · (317) 355-7356
Phone(317) 355-7356
Sole ProprietorNo
Enumeration DateApril 3, 2024
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1639921612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IN · 41000490A
Definition
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.
10122 E 10TH ST STE 230, Indianapolis, IN 46229
Open in Google Maps ↗

Other Identifiers 1

Medicaid300091942IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grayson Elise Coulombe Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENDAN MICHAEL RAY DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356
TASSAWAR FAROOQ DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356
IMANI GRAHAM DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356
GREGORY W BOAKE D.P.M.
Podiatrist
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356
JACQUELYN NICOLE WOODCOCK DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (173) 355-7356
YOUSSEF MOUSTAFA DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (173) 355-7356
DR. COREY NATHANIAL GROH D.P.M.
Podiatrist
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7120
KRISTEN LILE DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grayson Coulombe's NPI number?

The NPI number for Grayson Coulombe is 1639921612. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Grayson Coulombe located?

Grayson Coulombe practices at 10122 E 10th St Ste 230, Indianapolis, IN 46229. The listed phone number is (317) 355-7356.

What is Grayson Coulombe's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Grayson Coulombe enrolled in Medicare?

Yes. Grayson Coulombe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grayson Coulombe was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.