COURTNEY ANN GRIMES (NPI# 1225590557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225590557 |
Entity Type | Individual |
Full Name | COURTNEY ANN GRIMES |
Credential | AGNP |
Practice Address |
169 Riverside Dr Binghamton NY 13905-4198 |
Mailing Address |
8970 Main St Lisle NY 13797-1204 |
Practice Telephone | 6077985100 |
Mailing Telephone | 6074356612 |
Enumeration Date | 2019-04-04 |
Last Update Date | 2019-08-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 645445 | NY | Nursing Service Providers |
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F309184-01 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 10312015 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962978643 | Courtney Grimes | Social Worker | 2202 Knowles Ave, Nashville, TN 37204-2100 | 2018-10-19 |
1548633688 | Courtney Breyon Grimes | Occupational Therapist | 9441 Lbj Fwy, Dallas, TX 75243-4545 | 2015-11-11 |
1225262298 | Courtney Grimes | Speech-Language Pathologist | 1301 W Providence Ave, Orange, CA 92868-3808 | 2009-05-06 |
1255484572 | Courtney Grimes | Counselor | 200 Mcgee Rd, Anderson, SC 29625-2104 | 2007-01-19 |
Street Address |
169 RIVERSIDE DR |
City | BINGHAMTON |
State | NY |
Zip Code | 13905-4198 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548253446 | Advanced Radiology Services, Pllc | Radiology | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2005-08-25 |
1639777451 | Ceirra Robin Tennant | Nurse Practitioner | 169 Riverside Dr, Binghamton, NY 13905-4198 | 2020-10-14 |
1427674555 | Emily Elizabeth Krol | Physician Assistant | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-06-24 |
1184240889 | Debra Iwanow | Specialist/Technologist | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-06-18 |
1124642921 | Daniel Fitzpatrick | Registered Nurse | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-06-08 |
1255955100 | Robin Underwood | Registered Nurse | 169 Riverside Dr, Binghamton, NY 13905-4198 | 2020-06-05 |
1447872817 | Kelly Ann Yale-suda | Registered Nurse | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-05-08 |
1548880917 | Mahdi Shafiq | Student in an Organized Health Care Education/Training Program | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-04-25 |
1669092672 | Thien-duy Brandon Tran | Student in an Organized Health Care Education/Training Program | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-04-20 |
1164042313 | Benjamin Levi Kaplan | Student in an Organized Health Care Education/Training Program | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2020-04-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689222820 | Pamela K Wheaton | Counselor | 40 Front Sreet, Suite K, Binghamton, NY 13905 | 2019-08-30 |
1417422593 | Justin William Arnold | Massage Therapist | 1235 Front St, Suite 4, Binghamton, NY 13905 | 2018-10-04 |
1366886632 | Lalor Family Dental Pllc | Dentist | 1216 Upper Front Street, Binghamton, NY 13905 | 2013-04-17 |
1699015172 | Radharani Mohanty | Pediatrics | 1 Ely Park Blvd - M4, Binghamton, NY 13905 | 2013-02-21 |
1710260344 | Michelle L. Rease | Registered Nurse | 40 Front St. Suite C, C/o Riverside Anesthesia, Binghamton, NY 13905 | 2011-09-20 |
1508173337 | John D Newman | Registered Nurse | 169 Riverside Dr., Our Lady of Lourdes Hospital, Binghamton, NY 13905 | 2010-08-31 |
1073758330 | Jennifer Lynn Kolesar | Pharmacist | Cvs Pharmacy 68 Main St., Binghamton, NY 13905 | 2008-12-15 |
1245355155 | Tara Jayant Belsare | Psychiatry & Neurology | 38 Riverside Drive, Binghamton, NY 13905 | 2007-03-20 |
1659411866 | State of New York | Intermediate Care Facility, Mentally Retarded | Glenwood Rd, Binghamton, NY 13905 | 2007-02-07 |
1528133956 | Judith Tanzer | Social Worker | 35 Front Street, Binghamton, NY 13905 | 2006-11-21 |
Find all providers in zip 13905 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326131954 | Elijah Bernard Stevens | Nurse Practitioner | 305 Main St Fl 2, Binghamton, NY 13905-2524 | 2006-10-02 |
1760909063 | Cassandra Lynn Carnevale | Nurse Practitioner | 161 Riverside Drive, Binghamton, NY 13905 | 2017-08-28 |
1538512033 | Kathryn P Wilczewski | Nurse Practitioner | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2016-07-20 |
1881048643 | Kristen Bishop | Nurse Practitioner | 161 Riverside Dr, Suite #302, Binghamton, NY 13905-4176 | 2016-04-19 |
1649343906 | Jo A Eckstein-straneva | Nurse Practitioner | 169 Riverside Dr, Breast Care Center, Binghamton, NY 13905-4246 | 2006-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
Find all providers with the same taxonomy |
City | BINGHAMTON |
Zip Code | 13905 |
Please comment or provide details below to improve the information on COURTNEY ANN GRIMES.
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.