MR. CORBIE NATHANIEL GRIMES II (NPI# 1912365461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912365461 |
| Entity Type | Individual |
| Full Name | MR. CORBIE NATHANIEL GRIMES II |
| Credential | MA LPC |
| Practice Address |
1901 Medi Park Dr Suite 1038 Amarillo TX 79106-2110 |
| Practice Telephone | 8065986606 |
| Mailing Telephone | 8065986606 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
60566 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1901 MEDI PARK DR SUITE 1038 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003815325 | Stanley D Cook | Radiology | 1901 Medi Park Dr, Suite 2050, Amarillo, TX 79106-2110 | 2005-07-19 |
| 1396225496 | Lorelei Anne Johnson | Registered Nurse | 1901 Medi Park Dr, Amarillo, TX 79106-2110 | 2018-08-17 |
| 1184179293 | Viviana Whatley | Occupational Therapy Assistant | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2016-08-18 |
| 1891145959 | Beatriz Rey | Speech-Language Pathologist | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2016-06-20 |
| 1952755613 | Blaire Black | Speech-Language Pathologist | 1901 Medi Park Dr, Suite #2048, Amarillo, TX 79106-2110 | 2016-04-19 |
| 1063887776 | Nicole Feagan | Speech-Language Pathologist | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2015-12-07 |
| 1902279573 | Krista Raquel Reta | Occupational Therapy Assistant | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2015-11-04 |
| 1164892956 | Amarillo Pediatric Clinic, Pllc | Nurse Practitioner | 1901 Medi Park Dr, Ste 65, Amarillo, TX 79106-2110 | 2015-10-06 |
| 1407226251 | Cassie Cleavinger | Speech-Language Pathologist | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2015-10-05 |
| 1477923001 | Janae Cline | Occupational Therapy Assistant | 1901 Medi Park Dr, Suite 2048, Amarillo, TX 79106-2110 | 2015-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418890 | Alicia Artz | Counselor | 6812 Digby Ln, Amarillo, TX 79119-1126 | 2020-08-20 |
| 1013533256 | Ivy Hazel Bermudez | Counselor | 1145 Shasta Dr, Amarillo, TX 79110-3526 | 2020-06-23 |
| 1841816568 | Kristen Barrick | Counselor | 3611 S Soncy Rd Ste 9b, Amarillo, TX 79119-6408 | 2020-06-18 |
| 1902428626 | Cassie Kerns | Counselor | 4200 Ridgecrest Cir Ste A6, Amarillo, TX 79109-5416 | 2020-05-15 |
| 1407482110 | Laci Lee Merrell | Counselor | 2028 S Austin St Apt 704, Amarillo, TX 79109-1959 | 2020-03-14 |
| 1164053377 | Rachel Deann Hall | Counselor | 19401 Saddlehorn Rd, Amarillo, TX 79119-1231 | 2020-01-28 |
| 1386286177 | Tiffany Wright | Counselor | 7971 Sw 45th Ave Ste 200, Amarillo, TX 79119-7035 | 2019-10-13 |
| 1922652866 | Rachel Buckalew | Counselor | 3014 Sw 26th Ave Ste 4000, Amarillo, TX 79109-3175 | 2019-07-29 |
| 1700439718 | Jacqueline Flynt | Counselor | 2801 Wolflin Ave, Amarillo, TX 79109-1649 | 2019-07-18 |
| 1245892686 | Jayme York | Counselor | 7002 Covenant Ln, Amarillo, TX 79109-6879 | 2019-07-06 |
| Find all providers in AMARILLO | ||||
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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.