JERRICO GRIMARD (NPI# 1316378797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316378797 |
| Entity Type | Individual |
| Full Name | JERRICO GRIMARD |
| Practice Address |
3100 N Academy Blvd Suite 211 Colorado Springs CO 80917-5321 |
| Mailing Address |
4747 Bella Collina Ct Colorado Springs CO 80906-7510 |
| Practice Telephone | 7195740384 |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0164267 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3100 N ACADEMY BLVD SUITE 211 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917-5321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275517872 | Fred James Gremillion | Podiatrist | 3100 N Academy Blvd, Suite #115, Colorado Springs, CO 80917-5321 | 2005-12-06 |
| 1629519723 | Wasatch Payroll LLC | Clinic/Center | 3100 N Academy Blvd, 107, Colorado Springs, CO 80917-5321 | 2017-03-09 |
| 1265979488 | Peak Balance Family Wellness | Clinic/Center | 3100 N Academy Blvd, Suite 103, Colorado Springs, CO 80917-5321 | 2017-01-25 |
| 1659755338 | Colorado Springs Oral and Facial Surgery | Dentist | 3100 N Academy Blvd, #213, Colorado Springs, CO 80917-5321 | 2015-07-13 |
| 1710398573 | Stacie Lynn Kipp | Nurse Practitioner | 3100 N Academy Blvd, Colorado Springs, CO 80917-5321 | 2014-05-14 |
| 1629317979 | John E. Augspurger | Dentist | 3100 N Academy Blvd, Suite 203, Colorado Springs, CO 80917-5321 | 2013-02-06 |
| 1053655613 | Maria Smith | Nurse Practitioner | 3100 N Academy Blvd, Colorado Springs, CO 80917-5321 | 2012-11-20 |
| 1528261682 | Dale L Alto | Dentist | 3100 N Academy Blvd, Suite 213, Colorado Springs, CO 80917-5321 | 2007-06-07 |
| 1447384532 | Affiliates In Oral & Maxillofacial Surgery,p.c. | Dentist | 3100 N Academy Blvd, Suite 213, Colorado Springs, CO 80917-5321 | 2007-03-14 |
| 1841339819 | Ronald J Charity Dmd PC | Dentist | 3100 N Academy Blvd, Suite 103, Colorado Springs, CO 80917-5321 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517879 | Melanie Bjorkman | Nurse Practitioner | 8316 Needle Drop Ct, Colorado Springs, CO 80908-1337 | 2020-10-29 |
| 1932708013 | Lindsay Sweetman | Nurse Practitioner | 3575 Rocky Knoll Dr, Colorado Springs, CO 80920-4219 | 2020-10-20 |
| 1922607357 | Laura Evelyn Pettit | Nurse Practitioner | 7114 Selfridge St, Colorado Springs, CO 80916-5296 | 2020-10-16 |
| 1962011452 | Minuteclinic Diagnostic of Colorado LLC | Nurse Practitioner | 3475 N Academy Blvd, Colorado Springs, CO 80917-5166 | 2020-07-30 |
| 1760008999 | Ruth-ann N Umana | Nurse Practitioner | 3550 Plantation Grv, Colorado Springs, CO 80920-4830 | 2020-06-23 |
| 1376169763 | Shannon Graves | Nurse Practitioner | 4964 Bluestem Dr, Colorado Springs, CO 80917-1306 | 2020-06-22 |
| 1487270807 | Tammy Michelle Williams | Nurse Practitioner | 10212 Hannaway Dr, Colorado Springs, CO 80924-5320 | 2020-06-22 |
| 1154947836 | Roni-sue Ranae Westermeyer | Nurse Practitioner | 560 Hidden Cottage Grv, Colorado Springs, CO 80906-7777 | 2020-06-18 |
| 1952937906 | Brena Jonsan Branch | Nurse Practitioner | 5556 Prairie Schooner Dr, Colorado Springs, CO 80923-8771 | 2020-03-20 |
| 1235764390 | Serenity Clouds Family Practice Pllc | Nurse Practitioner | 13395 Voyager Pkwy Ste 446, Colorado Springs, CO 80921-7676 | 2020-03-10 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
Please comment or provide details below to improve the information on JERRICO GRIMARD.
| 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.