KELLYE MICHELLE GRIMES (NPI# 1083037758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083037758 |
Entity Type | Individual |
Full Name | KELLYE MICHELLE GRIMES |
Credential | PA |
Practice Address |
2665 Scripture St Denton TX 76201-2302 |
Practice Telephone | 9403878763 |
Practice Fax Number | 9405355901 |
Mailing Telephone | 9403878763 |
Mailing Fax Number | 9405355901 |
Enumeration Date | 2014-01-30 |
Last Update Date | 2019-11-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA08921 | TX | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2665 SCRIPTURE ST |
City | DENTON |
State | TX |
Zip Code | 76201-2302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497793459 | Audrey Carr Morrill | Family Medicine | 2665 Scripture St, Denton, TX 76201-2302 | 2006-06-03 |
1851890693 | Marissa Kirchenbauer | Nurse Practitioner | 2665 Scripture St, Denton, TX 76201-2302 | 2018-02-07 |
1043755648 | Queen Aimuyo | Nurse Practitioner | 2665 Scripture St, Denton, TX 76201-2302 | 2017-01-05 |
1184985202 | Mahnaz Sameeha Rahman | Obstetrics & Gynecology | 2665 Scripture St, Denton, TX 76201-2302 | 2012-06-05 |
1801026000 | Vartika Atrey | Family Medicine | 2665 Scripture St, Denton, TX 76201-2302 | 2009-07-22 |
1396985180 | Ranjitha Rishikesh | Internal Medicine | 2665 Scripture St, Denton, TX 76201-2302 | 2009-03-06 |
1831358332 | Tara Kari Chang | Internal Medicine | 2665 Scripture St, Denton, TX 76201-2302 | 2008-06-09 |
1053354654 | Courtney Karolyn Barton | Family Medicine | 2665 Scripture St, Denton, TX 76201-2302 | 2006-06-13 |
1205877214 | Antonio Asis | Obstetrics & Gynecology | 2665 Scripture St, Denton, TX 76201-2302 | 2006-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235779885 | Darren Duy Pham | Optometrist | 1800 W Chestnut St # 101, Denton, TX 76201 | 2020-01-12 |
1184276032 | Daniel Max & Marc Andrea LLC | Optometrist | 2505 W University Dr #1015, Denton, TX 76201 | 2019-07-11 |
1396254975 | Ideal Dental of Denton Pllc | Dentist | 2200 W University Drive, Suite 120, Denton, TX 76201 | 2017-09-26 |
1861919144 | Mary Lenore Garcia | Nurse Practitioner | 2435 W. Oak St., Suite 103, Denton, TX 76201 | 2017-08-28 |
1275065724 | Daneydy Hernandez | Dietitian, Registered | 721 Locust St., Denton, TX 76201 | 2017-04-03 |
1073998118 | National Vision, Inc. | Technician/Technologist | 2600 W University Dr, Ste 1240, Denton, TX 76201 | 2015-07-29 |
1326420555 | Brittany Ann Ortiz | Occupational Therapist | 2620 Scripture Street, Denton, TX 76201 | 2015-06-24 |
1932581253 | Kim Tien Blois | Optometrist | 1800 W Chestnut St Ste 101, Denton, TX 76201 | 2015-06-23 |
1679969257 | Allison Haffey | Physical Therapist | 26260 Scripture St, Denton, TX 76201 | 2015-04-10 |
1982001319 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1510 W Hickory St, Denton, TX 76201 | 2014-12-01 |
Find all providers in zip 76201 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
1447769203 | Allen Health Systems Pllc | Physician Assistant | 2900 N I 35 Ste 110, Denton, TX 76201-5142 | 2017-09-25 |
1780054429 | Jessica Van Noy | Physician Assistant | 3105 Colorado Blvd, Denton, TX 76210-6893 | 2015-10-06 |
1407263072 | John Matthews Eglseder II | Physician Assistant | 808 S 5th Ave, Denton, MD 21629-1398 | 2014-07-16 |
1477806594 | Integrated Care P.a | Physician Assistant | 400 N Loop 288, Suite 120, Denton, TX 76209-4809 | 2012-10-26 |
1639471931 | Nhan Gia-chau Wong | Physician Assistant | 2223 Colorado Blvd, Denton, TX 76205-7523 | 2010-11-19 |
1407081920 | Karishma Pravin Patel | Physician Assistant | 4310 Mesa Dr, Denton, TX 76207-3460 | 2009-05-28 |
1528257755 | Chris William Witt | Physician Assistant | 3319 Colorado Blvd, Denton, TX 76210-6817 | 2007-10-24 |
1588761837 | Leah Migala | Physician Assistant | 2900 N Interstate 35, Suite 110, Denton, TX 76201-5141 | 2006-09-20 |
1972598456 | Randall Stuart Martz | Physician Assistant | 1512 Teasley Ln, Denton, TX 76205-7282 | 2005-09-12 |
Find all providers in DENTON |
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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.