Charles Grinder, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A004694 Issued in AR

Practice address

102 Mountain Place Dr Ste C
Mountain View, AR 72560

Phone

(870) 269-3447

Fax

(870) 269-3448

NPI assigned

Feb 26, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fulton County Hospital

  • Clinic/Center
  • Salem, AR
  • NPI 1922261890
  Medicare reassignment NPD
• CMC Home Health and Hospice, LLC

  • Home Health Agency
  • Calico Rock, AR
  • NPI 1255599189
  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1013377415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MOUNTAIN PLACE DR STE C",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725606801",
            "telephone_number": "870-269-3447",
            "fax_number": "870-269-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MOUNTAIN PLACE DR STE C",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "72560",
            "telephone_number": "870-269-3447",
            "fax_number": "870-269-3448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "679 N Main St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "AR",
            "postal_code": "725769451",
            "country_code": "US",
            "telephone_number": "870-895-2152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRINDER",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-26",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Gray
• Kerion Green, LPN
• Robert Greenlee
• Mellissa Greenway, RECOVERY ASSISTANT
• Ashley Grimes
• Mary Anne Gunter, LAC, LAMFT
• Christa Hall
• Savannah Elizabeth-Marie Hall, FNP
• Tim Hall, RECOVERY ASSISTANT
• Helen Flora Halsted

• Family Nurse Practitioner in Mountain View, AR
• Providers in Mountain View, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.