DR. KELLY MARIE GRIM (NPI# 1861671398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861671398 |
| Entity Type | Individual |
| Full Name | DR. KELLY MARIE GRIM |
| Credential | AU.D |
| Practice Address |
125 Baldwin Ave Suite 100 Charlotte NC 28204-3370 |
| Mailing Address |
Po Box 601529 Charlotte NC 28260-1529 |
| Practice Telephone | 7043161900 |
| Practice Fax Number | 7043161932 |
| Mailing Telephone | 7043161900 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2014-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 10637 | NC | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 10637 | NC | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912367202 | Kelly Grim | Respite Care | 2277 Sunrise Dr, Reno, NV 89509-3751 | 2016-02-29 |
| 1164854931 | Kelly Grim | Occupational Therapist | 620 N Diers Ave, Suite 300, Grand Island, NE 68803-4984 | 2013-08-05 |
| Street Address |
125 BALDWIN AVE SUITE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-3370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205820289 | William S Roberts | Internal Medicine | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3364 | 2005-09-07 |
| 1316319833 | Megan Beres | Dietitian, Registered | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3364 | 2015-10-23 |
| 1831584176 | Annabelle Shrader Mann | Speech-Language Pathologist | 125 Baldwin Ave, Suite 100, Charlotte, NC 28204-3364 | 2015-04-03 |
| 1740674993 | Brandy Powers | Physical Therapist | 125 Baldwin Ave, Suite 100, Charlotte, NC 28204-3364 | 2015-03-26 |
| 1831582667 | Jennifer A Logan | Dietitian, Registered | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3370 | 2015-03-18 |
| 1992082630 | Victoria J Barrett | Dietitian, Registered | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3364 | 2011-11-09 |
| 1487946935 | Michelle Mintz Ray | Dietitian, Registered | 125 Baldwin Ave, Suite 100, Charlotte, NC 28204-3364 | 2011-05-03 |
| 1407150816 | Novant Medical Group, Inc. | Family Medicine | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3364 | 2010-12-28 |
| 1750607776 | Holly Michele Thomas | Speech-Language Pathologist | 125 Baldwin Ave, Suite 100, Charlotte, NC 28204-3364 | 2010-04-15 |
| 1861718843 | Darrelle L. Biddix | Physical Therapist | 125 Baldwin Ave, Suite 100, Charlotte, NC 28204-3364 | 2010-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145399 | Courtney Marie Palmiere | Audiologist | 6414 Rea Rd Ste C, Charlotte, NC 28277-3877 | 2019-10-17 |
| 1144590407 | Melissa Karp | Audiologist | 11121 Carmel Commons Blvd, Suite 150, Charlotte, NC 28226 | 2012-01-04 |
| 1124265962 | Anya C Symmonett | Audiologist | 401 E 9th St, Audiology, Charlotte, NC 28202-2533 | 2009-01-15 |
| 1316119555 | Marybeth Scherer Conrad | Audiologist | 302 Lillington Avenue, Charlotte, NC 28211-5400 | 2008-03-27 |
| 1871762666 | Tracey Chapin Krumel | Audiologist | 2711 Randolph Rd Ste 307, Charlotte, NC 28207-2027 | 2008-02-26 |
| 1346449857 | James Wade Kirkland | Audiologist | 3535 Randolph Rd Ste 211, Charlotte, NC 28211-1086 | 2007-07-13 |
| 1356554497 | Alena A Freeman | Audiologist | 11905 John K Hall Way, Charlotte, NC 28277-2855 | 2007-05-07 |
| 1558444554 | Michelle L. Podboreski Finnin | Audiologist | 125 Baldwin Ave Ste 100, Charlotte, NC 28204-3370 | 2006-10-23 |
| 1710070974 | Charlotte Audiology Services | Audiologist | 1928 Randolph Rd Ste 100, Charlotte, NC 28207-1105 | 2006-10-02 |
| 1316911639 | Christina Seaborg | Audiologist | 3601 Carmel Forest Dr, Charlotte, NC 28226-8115 | 2006-02-14 |
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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.