STACEY GRIMES (NPI# 1831440122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831440122 |
| Entity Type | Individual |
| Full Name | STACEY GRIMES |
| Credential | CRNP |
| Practice Address |
2 W Crescent Park Warren PA 16365-2111 |
| Practice Telephone | 8147233300 |
| Practice Fax Number | 8147269412 |
| Mailing Telephone | 8147233300 |
| Mailing Fax Number | 8147269412 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2016-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 337336 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
SP013433 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770732521 | Stacey D Grimes | Audiologist | 1010 1st St N, Suite 301, Alabaster, AL 35007-8608 | 2008-09-17 |
| Street Address |
2 W CRESCENT PARK |
| City | WARREN |
| State | PA |
| Zip Code | 16365-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990229 | Lee E Denlinger | Specialist | 2 W Crescent Park, Warren, PA 16365-2111 | 2005-05-31 |
| 1700423209 | Jennifer Thrift | Registered Nurse | 2 W Crescent Park, Warren, PA 16365-2111 | 2019-12-03 |
| 1972079184 | Warren General Hospital | Registered Nurse | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-10-16 |
| 1558846584 | Nathan Zigler | Physician Assistant | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-09-25 |
| 1720570021 | Erin Wilcox | Dental Hygienist | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-06-01 |
| 1801388269 | Tracy Marie Leichtenberger | Dental Hygienist | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-06-01 |
| 1891228136 | Primary Health Network | Clinic/Center | 2 W Crescent Park, Warren, PA 16365-2111 | 2017-04-04 |
| 1053863191 | Melissa Eckman | Nurse Practitioner | 2 W Crescent Park, Warren, PA 16365 | 2016-10-25 |
| 1174984116 | Regan Nicole Olsen | Nurse Practitioner | 2 W Crescent Park, Warren, PA 16365-2111 | 2016-03-18 |
| 1114392735 | Kelly Sullivan | Nurse Practitioner | 2 W Crescent Park, Warren, PA 16365-2111 | 2015-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
| 1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
| 1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
| 1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| Find all providers in zip 16365 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518514926 | Brittany Mazejko | Nurse Practitioner | 1745 Niles Cortland Rd Ne, Warren, OH 44484-6046 | 2019-08-20 |
| 1699276295 | Sabrina Vitale | Nurse Practitioner | 32318 Dover Ave, Warren, MI 48088-6903 | 2018-02-28 |
| 1417313727 | Mai Shoua Xiong | Nurse Practitioner | 11800 East 12 Mile Road, Warren, MI 48093 | 2016-01-04 |
| 1023485638 | Rowena Callo Teodoro | Nurse Practitioner | 27560 Hoover Rd., Warren, MI 48093 | 2015-08-31 |
| 1598173056 | Whitney J. Shafer | Nurse Practitioner | 470 Bennett Dr, Warren, IN 46792 | 2014-07-29 |
| 1508130097 | Psych Solutions Inc. | Nurse Practitioner | 2189 Stillwagon Rd Se, Warren, OH 44484-3169 | 2012-02-29 |
| 1255531489 | Jill M Gorton | Nurse Practitioner | 2817 Market St, Warren, PA 16365-5205 | 2007-07-25 |
| 1902953763 | Julie M Towery | Nurse Practitioner | 824 Huntington Ave # In, Warren, IN 46792-9402 | 2007-01-04 |
| 1831290295 | Melissa D Shene | Nurse Practitioner | 418 Pennsylvania Ave E, Warren, PA 16365-2775 | 2006-09-26 |
| 1699771139 | Kamie Dee Repine | Nurse Practitioner | 2 Crescent Park West, Warren Faculty Specialists, Warren, PA 16365-2111 | 2005-06-21 |
| Find all providers in WARREN | ||||
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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.