JESSICA GRIMM (NPI# 1922460476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922460476 |
| Entity Type | Individual |
| Full Name | JESSICA GRIMM |
| Practice Address |
911 E Hwy 377 Granbury TX 76048-1242 |
| Mailing Address |
911 E Hwy 377 104 Granbury TX 76048-1242 |
| Practice Telephone | 8555795323 |
| Practice Fax Number | 8555795323 |
| Mailing Telephone | 8555795323 |
| Mailing Fax Number | 8555795323 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
66968 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053969089 | Jessica Lynn Grimm | Social Worker | 5230 E 100th St, Garfield Heights, OH 44125-2402 | 2019-09-03 |
| 1528555810 | Jessica Grimm | Social Worker | 2001 E Market St, York, PA 17402-2841 | 2018-04-23 |
| 1003227091 | Jessica Grimm | Registered Nurse | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2014-05-13 |
| 1699103671 | Jessica Leanne Grimm | Nurse Practitioner | 10120 S Eastern Ave, Suite 120, Henderson, NV 89052-3951 | 2013-10-29 |
| 1356776991 | Jessica Leigh Grimm | Clinic/Center | 104 Chestnut St, Ridgewood, NJ 07450-2502 | 2013-09-12 |
| 1598089211 | Jessica Lynn Grimm | Physical Therapist | 12800 N Lake Shore Dr, Mequon, WI 53097 | 2010-03-24 |
| 1407858962 | Jessica Jean Grimm | Optometrist | 221 3rd St W, Randolph A F B, TX 78150-4800 | 2005-08-15 |
| Street Address |
911 E HWY 377 |
| City | GRANBURY |
| State | TX |
| Zip Code | 76048-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497117980 | New Leaf Services, LLC | Counselor | 911 E Hwy 377, Suite 104, Granbury, TX 76048-1242 | 2016-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213415 | Tena Lee Wood I | Licensed Practical Nurse | 302 S. Crites Granbury Tx. 76048, 302 S. Crites Granbury Tx. 76048, Granbury, TX 76048 | 2019-12-26 |
| 1811456593 | Laura Nicole Graham | Counselor | 2101 West Pearl Street, Granbury, TX 76048 | 2019-03-13 |
| 1477000974 | Globalrehab - Fort Worth, Lp | Rehabilitation Hospital | 805 Hill Blve, Ste 109, Granbury, TX 76048 | 2016-09-01 |
| 1780130245 | Rachel Diane Rouse | Counselor | 1903 W Pearl Street, Granbury, TX 76048 | 2016-08-25 |
| 1477946648 | Adriana Brown | Nurse Practitioner | 805 Hill Blvd., #104, Granbury, TX 76048 | 2015-03-12 |
| 1407261233 | Rogers King Coleman | General Practice | 1411 Crawford Street, Granbury, TX 76048 | 2014-07-01 |
| 1891115176 | Trinity Nursing and Rehabilitation of Granbury, Lp | Skilled Nursing Facility | 600 Reunion Court, Granbury, TX 76048 | 2014-04-24 |
| 1639507122 | Kayelen Helton | Counselor | 807 Paluxy Road, Granbury, TX 76048 | 2013-10-22 |
| 1013257799 | Pecan Valley Mhmr Region | Counselor | 2101 W. Pearl St., Granbury, TX 76048 | 2013-02-18 |
| 1114240223 | Talbot Green Mccormick Jr. | General Practice | 2306 Cologne Dr., Granbury, TX 76048 | 2010-03-03 |
| Find all providers in zip 76048 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285251470 | Cheryl Wooten | Counselor | 5800 Choctaw Dr, Granbury, TX 76049-5234 | 2020-07-03 |
| 1720605611 | Kathryn Parker Bowman | Counselor | 4605 Marina Ct, Granbury, TX 76049-6238 | 2020-06-26 |
| 1811456593 | Laura Nicole Graham | Counselor | 2101 West Pearl Street, Granbury, TX 76048 | 2019-03-13 |
| 1497210181 | Stormi Steed | Counselor | 3103 James Rd Unit 100, Granbury, TX 76049-3016 | 2019-02-06 |
| 1245795335 | Michael Chelsea Bryant | Counselor | 6508 Givens Place Ct, Granbury, TX 76049-4104 | 2019-02-04 |
| 1700370079 | Selah Therapy Pllc | Counselor | 201 E Pearl St Ste B204, Granbury, TX 76048-2177 | 2018-06-19 |
| 1518479666 | David Cardona | Counselor | 1540 Southtown Dr Ste 106, Granbury, TX 76048-2667 | 2017-10-30 |
| 1497117980 | New Leaf Services, LLC | Counselor | 911 E Hwy 377, Suite 104, Granbury, TX 76048-1242 | 2016-03-23 |
| 1629466057 | Susan Claudette Oliver | Counselor | 1205 Bentwater Pkwy, Granbury, TX 76049-5581 | 2015-01-08 |
| 1053723551 | Counseling By Penny | Counselor | 1104 Mallard Way, Granbury, TX 76048-2674 | 2014-06-02 |
| Find all providers in GRANBURY | ||||
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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.