CHALLIS A. GRIMM (NPI# 1659655074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659655074 |
| Entity Type | Individual |
| Full Name | CHALLIS A. GRIMM |
| Credential | ARNP |
| Practice Address |
917 Rinehart Rd Suite 2041 Lake Mary FL 32746-4802 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Attn: Credentialing Fort Myers FL 33916-2216 |
| Practice Telephone | 4078046133 |
| Practice Fax Number | 3212834332 |
| Mailing Telephone | 2392748200 |
| Mailing Fax Number | 2392783350 |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2015-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9176451 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
917 RINEHART RD SUITE 2041 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811995137 | Rinehart Lake Mary Surgical Center | Clinic/Center | 917 Rinehart Rd, Suite 1001, Lake Mary, FL 32746-4802 | 2005-07-11 |
| 1861863078 | Lauren Rivera | Physician Assistant | 917 Rinehart Rd, Suite 2041, Lake Mary, FL 32746-4802 | 2015-10-14 |
| 1104243690 | Elite Homecare Solutions LLC | Home Health | 917 Rinehart Rd, Suite 1051, Lake Mary, FL 32746-4802 | 2014-03-24 |
| 1013340025 | Jacob Bartoszek | Podiatrist | 917 Rinehart Rd, Suite 1051, Lake Mary, FL 32746-4802 | 2013-08-13 |
| 1417286428 | Alliance Surgical Center LLC | Clinic/Center | 917 Rinehart Rd, Suite 1001, Lake Mary, FL 32746 | 2009-12-22 |
| 1710116173 | Siva R Gaddipati Md Pl | Internal Medicine | 917 Rinehart Rd, Suite 2051, Lake Mary, FL 32746-4802 | 2009-07-07 |
| 1114156569 | Kalyani Gaddipati Md Pl | Internal Medicine | 917 Rinehart Rd, Suite 2051, Lake Mary, FL 32746-4802 | 2009-07-07 |
| 1659507812 | Rinehart Surgery Center of Lake Mary LLC | Clinic/Center | 917 Rinehart Rd, 1001, Lake Mary, FL 32746-4802 | 2009-06-02 |
| 1730368200 | Nc Sole-lutions, LLP | Durable Medical Equipment & Medical Supplies | 917 Rinehart Rd, Ste. 2001, Lake Mary, FL 32746-4802 | 2007-10-31 |
| 1780872176 | Lidia Oliveira, D.o., P.a. | Family Medicine | 917 Rinehart Rd, Ste 2001, Lake Mary, FL 32746-4802 | 2007-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227102 | Caroline Celine Miller | Nurse Practitioner | 517 Pickfair Ter, Lake Mary, FL 32746-5814 | 2020-08-28 |
| 1376180851 | Lynn Demeter | Nurse Practitioner | 2605 W Lake Mary Blvd Ste 119, Lake Mary, FL 32746-3568 | 2019-12-04 |
| 1043851835 | Brooke Marie Branam | Nurse Practitioner | 785 Primera Blvd # 1031, Lake Mary, FL 32746-2124 | 2019-10-02 |
| 1740835123 | Nidhi Sethi | Nurse Practitioner | 755 Stirling Center Pl Ste 1531, Lake Mary, FL 32746-5714 | 2019-08-02 |
| 1083276158 | Adriel Perez | Nurse Practitioner | 752 Stirling Center Pl Ste 1008, Lake Mary, FL 32746-4889 | 2019-06-28 |
| 1144708058 | Jordan Scott Vallieres | Nurse Practitioner | 755 Rinehart Rd Ste 100, Lake Mary, FL 32746-4885 | 2018-08-02 |
| 1487149316 | Sierra F Garrett | Nurse Practitioner | 964 International Pkwy Ste 1630, Lake Mary, FL 32746-5235 | 2018-06-23 |
| 1427555630 | Mariko Caberto | Nurse Practitioner | 1355 S International Pkwy Ste 2451, Lake Mary, FL 32746-1696 | 2018-04-12 |
| 1649778309 | Elliott James | Nurse Practitioner | 755 Strling Ctr Pl, Lake Mary, FL 32746-5714 | 2018-01-29 |
| 1538603675 | Rebecca Shedden | Nurse Practitioner | 962 Shriver Cir, Lake Mary, FL 32746-4942 | 2016-12-08 |
| Find all providers in LAKE MARY | ||||
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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.