KELLY GRIMSHAW (NPI# 1932684727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932684727 |
| Entity Type | Individual |
| Full Name | KELLY GRIMSHAW |
| Credential | BSN, RN, CDE |
| Practice Address |
400 Soldier Creek Dr Rosebud SD 57570-8502 |
| Mailing Address |
Po Box 557 Rosebud SD 57570-0557 |
| Practice Telephone | 6057470649 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
R043498 | SD | Nursing Service Providers |
| Street Address |
400 SOLDIER CREEK DR |
| City | ROSEBUD |
| State | SD |
| Zip Code | 57570-8502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457306532 | Marsha M. Brackeen | Physician Assistant | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2006-05-24 |
| 1942848775 | Sophie Chau | Pharmacist | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2019-12-11 |
| 1124677653 | Rodger An | Pharmacist | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2019-09-07 |
| 1922655141 | Melissa Kaye Rodriguez | Pharmacist | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2019-08-22 |
| 1881249142 | Anne Margaret Cowles | Nurse Practitioner | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2019-08-05 |
| 1063066751 | Reji Mavumkal | Pharmacist | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2019-07-31 |
| 1982956744 | Angela Mary Carlos | Counselor | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2012-10-03 |
| 1205112893 | Gary S Kots | Optometrist | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2011-10-26 |
| 1366517385 | Criselle Smith | Nurse Practitioner | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842618 | Lawrence Micheal Gary Sr. | Technician | 28926 Bia 1, Rosebud, SD 57570 | 2020-05-07 |
| 1184141400 | Guardian Flight LLC | Ambulance | 1506 Airport Road, Rosebud, SD 57570 | 2017-08-28 |
| 1629474549 | Rosebud Ihs Hospita;l | General Acute Care Hospital | Solder Creek Road, Rosebud, SD 57570 | 2014-11-05 |
| 1073867420 | Rosebud Sioux Tribe -chr | Private Vehicle | 729 Hospital Drive, Rosebud, SD 57570 | 2012-11-07 |
| 1053662577 | Barbara Jean Davis | Registered Nurse | Bia Route 1, Rosebud, SD 57570 | 2012-09-24 |
| 1760760458 | Lucy Maria Reifel | Pediatrics | 100 Dialysis Lane, Rosebud, SD 57570 | 2011-07-28 |
| 1255577847 | Jacquelyn Hogan | Registered Nurse | Hwy 18, Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2009-01-02 |
| 1346426269 | Robin J Stenson | Registered Nurse | Hwy 18 Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2008-01-10 |
| 1063602365 | Rosebud Sioux Tribe Alcohol Drug Treatment Program | Private Vehicle | #7 Hospital Lane, Rosebud, SD 57570 | 2007-08-01 |
| 1184826695 | Krista Horvath | Registered Nurse | Bia Rt 1 Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2007-06-05 |
| Find all providers in zip 57570 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679002950 | Brenda Lee Pence | Registered Nurse | 305 S. State St., Aberdeen, SD 57401 | 2017-06-08 |
| 1265064620 | Cassandra Larsen | Registered Nurse | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2020-02-04 |
| 1942650452 | Crystal Dee Beckman | Registered Nurse | 1305 W 18th St, Sanford Diabetes Care Center, Sioux Falls, SD 57105-0401 | 2016-06-15 |
| 1922413368 | Jami Lynn Larson | Registered Nurse | 1714 Abbey Rd, Pierre, SD 57501-7805 | 2014-06-24 |
| 1588805816 | Colleen R Permann | Registered Nurse | 111 Washington Ave Nw, Wagner, SD 57380-0111 | 2009-03-17 |
| 1396986626 | Craig A Noteboom | Registered Nurse | 111 Washington Ave Nw, Wagner, SD 57380-0111 | 2009-03-17 |
| 1104028257 | Linda Jane Sandvik | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2007-06-01 |
| 1588873145 | Rhonda R Jensen | Registered Nurse | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2007-05-21 |
| 1154324614 | Diane Anderson | Registered Nurse | 71 Charles St, Deadwood, SD 57732-1303 | 2005-05-27 |
Please comment or provide details below to improve the information on KELLY GRIMSHAW.
| 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.