COURTNEY ANN GRIMES


Address: 169 Riverside Dr, Binghamton, NY 13905-4198
Phone: 6077985100

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NY 10312015 05

Other Providers COURTNEY GRIMES

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

Office Location

Street Address 169 RIVERSIDE DR
City BINGHAMTON
State NY
Zip Code 13905-4198

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City BINGHAMTON
Zip Code 13905

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Dataset Information

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.

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