KELLI DANIELLE GRIM HALL (NPI# 1194041152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194041152 |
| Entity Type | Individual |
| Full Name | KELLI DANIELLE GRIM HALL |
| Other Name | KELLI DANIELLE JONES |
| Credential | M.D. |
| Practice Address |
10310 The Grove Blvd Baton Rouge LA 70836-6455 |
| Practice Telephone | 2257615470 |
| Practice Fax Number | 2257615549 |
| Mailing Telephone | 2257615200 |
| Mailing Fax Number | 2257615549 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD.206157 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02784541 | 05 | |
| LA | 2108158 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295997823 | Kelli K Hall | Social Worker | 10604 Ne 38th Pl, Suite 132, Quad 1 North, Kirkland, WA 98033-7933 | 2008-06-25 |
| 1588745376 | Kelli L Hall | Anesthesiology | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2006-10-18 |
| 1154434793 | Kelli Stidham Hall | Nurse Practitioner | 207 Fletcher St, Ann Arbor, MI 48109-1050 | 2006-08-17 |
| 1043299589 | Kelli G Hall | Hospitalist | 1850 State St, New Albany, IN 47150-4990 | 2006-01-12 |
| Street Address |
10310 THE GROVE BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70836-6455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848443 | Ochsner Clinic LLC | Oral & Maxillofacial Surgery | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2005-08-16 |
| 1326663204 | Hannah Jumonville | Speech-Language Pathologist | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2020-06-16 |
| 1881216802 | Kitzia Baxter | Social Worker | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2020-05-13 |
| 1508499252 | Danielle Webster | Nurse Practitioner | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2020-02-20 |
| 1437794609 | Mary Catherine Halphen | Dietitian, Registered | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2019-11-12 |
| 1124682273 | Katherine Crifasi Cash | Dietitian, Registered | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2019-04-24 |
| 1487119632 | Shelby Heltz Ledet | Specialist/Technologist | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2019-02-01 |
| 1578000816 | Brittni Tullier | Dietitian, Registered | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2017-01-25 |
| 1447612320 | Jessica T. Chu | Dermatology | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2016-03-22 |
| 1558780940 | Maverick Joseph Leblanc | Radiology | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2014-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386154284 | Feliciana Physical Therapy Services, LLC | Occupational Therapist | 10299t Creekbend Drive, Baton Rouge, LA 70836 | 2017-10-05 |
| 1346395753 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6401 Bluebonnet Blvd Ste 5050, Baton Rouge, LA 70836 | 2007-01-24 |
| 1891313078 | Camille Alexis Merendino | Speech-Language Pathologist | 9511 Crestview Drive, Ste B, Baton Rough, LA 70836 | 2020-07-14 |
| 1932739984 | Senior Therapy Solutions, LLC | Occupational Therapist | 9511 Crestview Drive, Suite B, Baton Rouge, LA 70836 | 2020-01-17 |
| 1508829599 | Elizabeth Clubb, Apmc | Specialist | Bluebonnet Blvd, Suite A, Baton Rouge, LA 70836-1206 | 2006-04-10 |
| 1417281908 | Latonyia J Hewett | Physical Therapist | 9511 Crestview Drive, Ste B, Baton Rouge, LA 70836-3246 | 2009-09-30 |
| 1609218890 | Brett J Carlin | Optometrist | 6401 Bluebonnet Blvd # 2192, Baton Rouge, LA 70836-6401 | 2013-07-29 |
| 1568690402 | Tara Leblanc | Optometrist | 6401 Bluebonnet Blvd, Suite 2192, Baton Rouge, LA 70836-6401 | 2009-06-30 |
| 1245544675 | Capital Eyes LLC | Optometrist | 6401 Bluebonnet Blvd, Suite#2192, Baton Rouge, LA 70836-6401 | 2010-07-27 |
| 1225345127 | Northland Hearing Centers Inc | Audiologist-Hearing Aid Fitter | 6501 Bluebonnet Blvd, Baton Rouge, LA 70836-6500 | 2010-09-13 |
| Find all providers in zip 70836 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528421872 | Joshua Mark Pitre | Dermatology | 163 Burgin Ave, Baton Rouge, LA 70808-4925 | 2016-04-04 |
| 1972763340 | Nicole Matths Harrell | Dermatology | 5326 O'dovan Drive, Baton Rouge, LA 70808 | 2008-06-10 |
| 1053579862 | Dermasurgery Center, LLC | Dermatology | 7414 Picardy Ave, Suite C, Baton Rouge, LA 70808-4696 | 2008-05-28 |
| 1386783280 | Laci Lafleur Theunissen | Dermatology | 7855 Jefferson Hwy, Baton Rouge, LA 70809-1206 | 2007-02-06 |
| 1245397397 | Lynn Z. Tucker | Dermatology | 7388 Highland Rd, Ste. A, Baton Rouge, LA 70808-6601 | 2007-01-01 |
| 1902976921 | Ann C Zedlitz | Dermatology | 5326 Odonovan Dr, Baton Rouge, LA 70808-4691 | 2006-11-08 |
| 1710095120 | Chad Landon Prather | Dermatology | 6411 Perkins Rd Ste 100, Baton Rouge, LA 70808-4125 | 2006-08-26 |
| 1437186228 | Christopher James Mcewen | Dermatology | 5220 Flanders Dr, Baton Rouge, LA 70808 | 2006-06-27 |
| 1093742769 | Calais Dermatology Associates | Dermatology | 5220 Flanders Drive, Baton Rouge, LA 70808 | 2006-06-27 |
| 1356381800 | Stephanie R. Frederic | Dermatology | 7373 Perkins Rd., Baton Rouge, LA 70808-4686 | 2006-06-06 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70836 |
Please comment or provide details below to improve the information on KELLI DANIELLE GRIM HALL.
| 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.