CRESENCIA P GRIMM (NPI# 1306485008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306485008 |
| Entity Type | Individual |
| Full Name | CRESENCIA P GRIMM |
| Other Name | CRESENCIA CHRIS ANCHETA GRIMM |
| Credential | MSNNHCECPANACNPCAG |
| Practice Address |
511 Paladin Dr Greenville NC 27834-7826 |
| Mailing Address |
104 E Saddle Ln Havelock NC 28532-2938 |
| Practice Telephone | 2527528880 |
| Practice Fax Number | 2523172092 |
| Mailing Telephone | 2526464820 |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
5012647 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1302 Medical Center Dr, Wilmington, NC 284017503 | 9103439800 | 9103462263 |
| Street Address |
511 PALADIN DR |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-7826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525315 | Graham Vance Byrum Jr. | Internal Medicine | 511 Paladin Dr, Greenville, NC 27834-7826 | 2005-06-01 |
| 1285282244 | Andrew Feldin Hill | Nurse Practitioner | 511 Paladin Dr, Greenville, NC 27834-7826 | 2019-09-03 |
| 1215307202 | Tiffany Mills Lee | Nurse Practitioner | 511 Paladin Dr, Greenville, NC 27834-7826 | 2015-10-02 |
| 1710371091 | Anthony Provenzano | Internal Medicine | 511 Paladin Dr, Greenville, NC 27834-7826 | 2015-03-24 |
| 1043500168 | Sharlyn K Williams | Nurse Practitioner | 511 Paladin Dr, Greenville, NC 27834-7826 | 2011-04-11 |
| 1003148867 | Staci G. Streeter-moye | Nurse Practitioner | 511 Paladin Dr, Greenville, NC 27834-7826 | 2010-02-04 |
| 1174763973 | Malinda Chapman Harrington | Nurse Practitioner | 511 Paladin Dr, Greenville, NC 27834-7826 | 2009-03-06 |
| 1346485687 | Heather Harper Jones | Internal Medicine | 511 Paladin Dr, Greenville, NC 27834-7826 | 2008-12-15 |
| 1225298490 | Nauman Shahid | Internal Medicine | 511 Paladin Dr, Greenville, NC 27834-7826 | 2008-06-11 |
| 1104042365 | Scott Alan Kendrick | Internal Medicine | 511 Paladin Dr, Greenville, NC 27834-7826 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750903969 | Lauren Brooke Kirby | Nurse Practitioner | 620 Moye Blvd, Greenville, NC 27834-0001 | 2020-05-11 |
| 1780223685 | Estella Janean Hill | Nurse Practitioner | 110 Wayline Ct, Greenville, SC 29605-6451 | 2019-12-26 |
| 1467000794 | Stephanie Van Camp | Nurse Practitioner | 125 Commonwealth Dr Unit 210, Greenville, SC 29615-4812 | 2019-08-29 |
| 1679928428 | Stelina Jennings | Nurse Practitioner | 2 Innovation Drive Ste 400, Greenville, SC 29607 | 2016-04-29 |
| 1124484399 | Nisha Panday | Nurse Practitioner | 1101 Jackson St Ste B, Greenville, OH 45331-1396 | 2016-01-04 |
| 1578937157 | Kirsten Bur Dauterive | Nurse Practitioner | 890 W Faris Rd Ste 580, Greenville, SC 29605 | 2015-11-19 |
| 1578532040 | Brandy Kay Porter | Nurse Practitioner | 302 W Faris Rd, Greenville, SC 29605-3005 | 2006-03-16 |
| 1235134883 | Luann Harris | Nurse Practitioner | 3 Butternut Drive, Suite B, Greenville, SC 29605-4653 | 2005-06-20 |
| 1639770233 | Kristin L Schwartz | Nurse Practitioner | 900 W Faris Rd, Greenville, SC 29605-4255 | 2020-11-02 |
| 1720604366 | Sarah Ann Harris | Nurse Practitioner | 1200 Woodruff Rd Ste A3, Greenville, SC 29607-5732 | 2020-06-19 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on CRESENCIA P GRIMM.
| 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.