MS. CRYSTAL GRIMES (NPI# 1699135657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699135657 |
| Entity Type | Individual |
| Full Name | MS. CRYSTAL GRIMES |
| Credential | NP |
| Practice Address |
280 Beach St Revere MA 02151-3143 |
| Practice Telephone | 7812892266 |
| Practice Fax Number | 7812896993 |
| Mailing Telephone | 7812892266 |
| Mailing Fax Number | 7812896993 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN265816 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780641233 | Crystal L Grimes | Physician Assistant | 7348 W 21st St N Ste 121, Wichita, KS 67205-1765 | 2006-04-27 |
| 1790865574 | Crystal Grimes | Pharmacist | 1750 N Main St, Logan, UT 84341-1922 | 2006-10-16 |
| Street Address |
280 BEACH ST |
| City | REVERE |
| State | MA |
| Zip Code | 02151-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750388419 | Janet T. Chua | Pediatrics | 280 Beach St, Revere, MA 02151-3143 | 2005-07-07 |
| 1962708271 | Tlc Pediatrics PC | Pediatrics | 280 Beach St, Revere, MA 02151-3143 | 2011-02-03 |
| 1538249263 | Leonard I Firer | Pediatrics | 280 Beach St, Revere, MA 02151-3143 | 2006-10-17 |
| 1134168222 | Frank T Dimasi | Obstetrics & Gynecology | 280 Beach St, Revere, MA 02151-3143 | 2006-06-05 |
| 1013908318 | Steven J Dakoyannis | Obstetrics & Gynecology | 280 Beach St, Revere, MA 02151-3143 | 2005-11-04 |
| 1215934070 | Joan Granitsas | Pediatrics | 280 Beach St, Revere, MA 02151-3143 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558853580 | Carla Richman | Behavioral Analyst | 29 Arnold Street, Revere, MA 02151 | 2018-06-05 |
| 1558859850 | Citizens Physical Therapy Inc | Clinic/Center | 221 Beach St, Revere, MA 02151 | 2018-04-23 |
| 1396254892 | Holness Home Care | Home Health | 959 Revere Beach Parkway, Revere, MA 02151 | 2017-09-27 |
| 1841709938 | Stefanie Finocchio-durham | Acupuncturist | 107 Pearl Ave, Apt 3, Revere, MA 02151 | 2017-09-21 |
| 1174064265 | Hope Noelle Crowe | Behavioral Analyst | 164 Winthrop Parkway, Revere, MA 02151 | 2017-03-09 |
| 1033660469 | Driss Bahraoui | Interpreter | 21 Thornton St #1, Revere, MA 02151 | 2016-10-20 |
| 1568910081 | Lindsey J. Ellermeyer | Student in an Organized Health Care Education/Training Program | Revere Community Counseling, 265 Beach Street, Revere, MA 02151 | 2016-09-13 |
| 1851743470 | Jacqueline Galvez | Counselor | 252 Proctor Ave # 3, Revere, MA 02151 | 2016-07-07 |
| 1518321090 | Kathleen Elizabeth Pellecchia | Health Educator | 454 Broadway Fl 3, Revere, MA 02151 | 2016-04-11 |
| 1780098814 | David A Gross | Internal Medicine | Mgh Revere, 385 Broadway, Revere, MA 02151 | 2014-06-17 |
| Find all providers in zip 02151 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861537235 | Jo Birdsey | Nurse Practitioner | 300 Ocean Ave, Mgh Rhc, Revere, MA 02151-3675 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841809332 | Bridget Hillary Barrett | Nurse Practitioner | 5 Dean Cir, Andover, MA 01810-3304 | 2020-07-30 |
| 1144839192 | Lisa Anne Ruffy | Nurse Practitioner | 60 Binney St, Cambridge, MA 02142-1512 | 2020-07-27 |
| 1255949939 | Jazz Lesoleil Hicks | Nurse Practitioner | 16 Forest St, Carver, MA 02330-1115 | 2020-07-17 |
| 1841838935 | Katelyn Tulp Mcnair | Nurse Practitioner | 174 3rd St, Cambridge, MA 02141-2140 | 2019-12-19 |
| 1922642800 | Megan A Lovell | Nurse Practitioner | 200 Commerce Dr # 2, Northbridge, MA 01534-1425 | 2019-11-04 |
| 1003459371 | Elizabeth Connelly Kudzma | Nurse Practitioner | 514 Holly Rd, Marshfield, MA 02050-1775 | 2019-10-19 |
| 1144861303 | Jennifer Abjornson | Nurse Practitioner | 99 Hudson St Apt 3, Boston, MA 02111-1812 | 2019-09-30 |
| 1437706470 | Brittany Griffin | Nurse Practitioner | 123 Camelot Dr Ste 1, Plymouth, MA 02360-3038 | 2019-08-23 |
| 1962069930 | Claudia Anastasia Montesdeoca | Nurse Practitioner | 348 Hyde Park Ave # 3, Roslindale, MA 02131-2116 | 2019-05-24 |
| 1134694565 | Theresa C Murphy | Nurse Practitioner | 100 West St Ste 1, Needham, MA 02494-1319 | 2018-10-12 |
| 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.