MRS. SAMANTHA GRIMES (NPI# 1457725285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457725285 |
| Entity Type | Individual |
| Full Name | MRS. SAMANTHA GRIMES |
| Credential | D.C. |
| Practice Address |
W502 Spur Ln Fountain City WI 54629-7208 |
| Practice Telephone | 6086871255 |
| Practice Fax Number | 6086871255 |
| Mailing Telephone | 6086871255 |
| Mailing Fax Number | 6086871255 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5136-12 | WI | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558836130 | Samantha Tingen Grimes | Counselor | 6704 N Grand Brook Cir, Richmond, VA 23225-4159 | 2018-10-10 |
| 1205348067 | Samantha Marie Grimes | Speech-Language Pathologist | 9565 Highway 78 Bldg 102, Ladson, SC 29456 | 2017-11-01 |
| 1396837084 | Samantha Grimes | Social Worker | 815 Paxon Hollow Rd, Broomall, PA 19008-3421 | 2006-09-29 |
| 1154822161 | Samantha Marie Grimes | Counselor | 720 Eskenazi Ave, Indianapolis, IN 46202-5187 | 2018-02-25 |
| Street Address |
W502 SPUR LN |
| City | FOUNTAIN CITY |
| State | WI |
| Zip Code | 54629-7208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285070664 | Kyle William Grimes | Chiropractor | W502 Spur Ln, Fountain City, WI 54629-7208 | 2013-05-13 |
| 1750783775 | Foundations Chiropractic LLC | Chiropractor | W502 Spur Ln, Fountain City, WI 54629-7208 | 2014-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033433305 | Daniel J Ramer | Pharmacist | 130 S. Hill St., Fountain City, WI 54629 | 2010-03-16 |
| 1093914848 | Sherry J Foust | Speech-Language Pathologist | St. Michael's Lutheran Home, 270 North St., Fountain City, WI 54629 | 2007-07-12 |
| 1740489715 | Kathryn Jane Benke | Physical Therapist | 270 North St., Fountain City, WI 54629 | 2007-07-11 |
| 1740488188 | Nicole L Kemp | Physical Therapy Assistant | 270 N St., Fountain City, WI 54629 | 2007-07-06 |
| 1285730143 | Cheryl Thomas Kuhn | Speech-Language Pathologist | S2415 Conada Ridge Road, Fountain City, WI 54629 | 2006-09-16 |
| 1144293762 | St Michael's Evangelical Lutheran Home for The Aged | Skilled Nursing Facility | 270 North Street, Fountain City, WI 54629 | 2006-02-13 |
| 1164621124 | Barbara Ann Parent | Occupational Therapist | 270 North St., Fountain City, WI 54629 | 2007-07-11 |
| 1841200557 | Joan M Schnabel | Family Medicine | 66 Liberty St, Fountain City, WI 54629-0005 | 2006-08-08 |
| 1518284835 | Patricia Ann Harm | Licensed Practical Nurse | S2655 State Road 95, Fountain City, WI 54629-7601 | 2010-04-26 |
| 1821618380 | Andrew Baker | Student in an Organized Health Care Education/Training Program | W1136 Pine St, Fountain City, WI 54629-7805 | 2020-04-24 |
| Find all providers in zip 54629 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285070664 | Kyle William Grimes | Chiropractor | W502 Spur Ln, Fountain City, WI 54629-7208 | 2013-05-13 |
| 1750783775 | Foundations Chiropractic LLC | Chiropractor | W502 Spur Ln, Fountain City, WI 54629-7208 | 2014-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567668 | Zachary Arnold Wickert | Chiropractor | N144w6220 Pioneer Rd, Cedarburg, WI 53012-2723 | 2020-10-28 |
| 1215537501 | Seek Chiropractic LLC | Chiropractor | 405 S Farwell St Ste 21, Eau Claire, WI 54701-2701 | 2020-10-27 |
| 1043819824 | Courtney Helen Slaby | Chiropractor | 559 Braund St Ste 3, Onalaska, WI 54650-8659 | 2020-10-22 |
| 1548869423 | Journey Chiropractic LLC | Chiropractor | 101 E Sadd St, North Prairie, WI 53153-9775 | 2020-10-21 |
| 1154929909 | Water City Care Mission, Inc. | Chiropractor | 449 High Ave., Oshkosh, WI 54901-4708 | 2020-10-14 |
| 1366049793 | Phoenix Chiropractic and Wellness, LLC | Chiropractor | 250 N Green Bay Rd Unit D, Neenah, WI 54956-2285 | 2020-10-08 |
| 1598371668 | Michael Allen Markowski | Chiropractor | 1632 N 18th St # 1, Manitowoc, WI 54220-1858 | 2020-09-23 |
| 1801408687 | Chiro One Wellness Center of Pleasant Prairie LLC | Chiropractor | 9755 76th St Ste 730, Pleasant Prairie, WI 53158-1925 | 2020-08-21 |
| 1972115186 | Shelby Chapelle | Chiropractor | 1711 Green Bay Rd Ste C, Kenosha, WI 53144-1209 | 2020-08-19 |
| 1659981801 | Reince Chiropractic LLC | Chiropractor | 13382 Velp Ave Ste A, Suamico, WI 54313-8191 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | FOUNTAIN CITY |
| Zip Code | 54629 |
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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.