MRS. LA REA ANN GRIMSHAW (NPI# 1477899037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477899037 |
| Entity Type | Individual |
| Full Name | MRS. LA REA ANN GRIMSHAW |
| Credential | LPN |
| Practice Address |
4400 Katie Ridge Dr Moore OK 73160-6269 |
| Practice Telephone | 4052466106 |
| Mailing Telephone | 4052466106 |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2012-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L0056826 | OK | Nursing Service Providers |
| Street Address |
4400 KATIE RIDGE DR |
| City | MOORE |
| State | OK |
| Zip Code | 73160-6269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457899288 | Amy Njenga | Licensed Practical Nurse | 103 N Broadway St Ste B, Moore, OK 73160-5108 | 2017-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777634 | Karen Ann Crosby | Licensed Practical Nurse | 205 E Ninth St, Wright City, OK 74766 | 2020-10-12 |
| 1013514504 | Tammie Renee Langford | Licensed Practical Nurse | 417952 E 1910 Rd, Antlers, OK 74523-7441 | 2020-10-07 |
| 1033722145 | Karen Gail Nickels | Licensed Practical Nurse | 29408 S 548 Rd, Cookson, OK 74427-2423 | 2020-08-28 |
| 1942825872 | Larita Leake | Licensed Practical Nurse | 10404 Vineyard Blvd Ste C, Oklahoma City, OK 73120-3739 | 2020-06-16 |
| 1568028355 | Kimberly Dawn Richardson | Licensed Practical Nurse | 9213 Ne 10th St, Midwest City, OK 73130-1317 | 2019-05-16 |
| 1265992515 | Jacqueline Chanthay Williams | Licensed Practical Nurse | 1323 E Ash St, Altus, OK 73521-2908 | 2019-03-22 |
| 1114484623 | Sabrina Susie Rocha | Licensed Practical Nurse | 9811 E 12th St, Tulsa, OK 74128-3803 | 2019-02-21 |
| 1689130593 | Georgia Delain Lowe | Licensed Practical Nurse | Route 6 Number 840, Stilwell, OK 74960 | 2019-02-15 |
| 1750845145 | Traci L Carrier | Licensed Practical Nurse | 115 S Lincoln St., Mangum, OK 73554 | 2019-01-30 |
| 1003388497 | Katrina Ann Bush | Licensed Practical Nurse | 1721 E Omaha St Apt B3, Broken Arrow, OK 74012-0363 | 2018-12-22 |
| Find all providers with the same taxonomy | ||||
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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.