MRS. JENNIFER A GRIMMER (NPI# 1548473879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548473879 |
Entity Type | Individual |
Full Name | MRS. JENNIFER A GRIMMER |
Credential | PNP |
Practice Address |
12360 Manchester Rd Ste 100 Saint Louis MO 63131-4302 |
Practice Telephone | 3149668500 |
Practice Fax Number | 3149964499 |
Mailing Telephone | 3149668500 |
Mailing Fax Number | 3149964499 |
Enumeration Date | 2007-05-07 |
Last Update Date | 2019-06-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
140343 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 420020001 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821303140 | Jennifer Elizabeth Grimmer | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263 | 2010-08-11 |
Street Address |
12360 MANCHESTER RD STE 100 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63131-4302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972912087 | Washington University Clinical Associates Blue Fish LLC | Clinic/Center | 12360 Manchester Rd, Suite 100, Saint Louis, MO 63131-4312 | 2014-08-04 |
1225303522 | Kelly Dougherty Wassel | Nurse Practitioner | 12360 Manchester Rd, Ste 100, Saint Louis, MO 63131-4302 | 2012-03-20 |
1992996821 | Varicose Vein Center of St Louis, Inc | Specialist | 12360 Manchester Rd, Ste 206, Saint Louis, MO 63131-4312 | 2007-08-06 |
1417151218 | Yamuna Mathew Dds PC | Clinic/Center | 12360 Manchester Rd, Suite 201, Saint Louis, MO 63131-4312 | 2007-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
Find all providers in zip 63131 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689203390 | Kathleen Rippe Dowd | Nurse Practitioner | 59 Pointer Ln, Saint Louis, MO 63124-2018 | 2020-04-04 |
1871126391 | Kelsey Lonergan | Nurse Practitioner | 10915 Three Court Dr, Saint Louis, MO 63123-5959 | 2020-02-13 |
1003383324 | Jennifer Marie Jacobi | Nurse Practitioner | 1 Childrens Pl Fl 12, Saint Louis, MO 63110-1002 | 2018-10-24 |
1114381563 | Kathleen B Shaughnessy | Nurse Practitioner | 9580 Watson Rd, Ste A, Saint Louis, MO 63126-1539 | 2016-04-12 |
1396117636 | Erika Kircher | Nurse Practitioner | 518 Gray Ave, Saint Louis, MO 63119-3742 | 2015-10-27 |
1780007963 | Michelle Marie Dupont | Nurse Practitioner | 1465 South Grand Boulevard, Saint Louis, MO 63104 | 2014-01-24 |
1083924468 | Carrie Anne Thrasher | Nurse Practitioner | 3915 Watson Rd Ste 202, Saint Louis, MO 63109-1251 | 2010-10-19 |
1265768576 | Cheryl L Grave | Nurse Practitioner | 607 S New Ballas Rd Ste 2415, Saint Louis, MO 63141-8234 | 2009-10-20 |
1467639781 | Dana Joann Aronin | Nurse Practitioner | 77 Progress Parkway, Biomedical Systems, Saint Louis, MO 63110-1002 | 2008-01-29 |
1265643282 | Dawn Lee Garzon | Nurse Practitioner | 8888 Ladue Rd Ste 100, Saint Louis, MO 63124-2056 | 2007-05-24 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63131 |
Please comment or provide details below to improve the information on MRS. JENNIFER A GRIMMER.
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.