Individual provider Active NPI

Deirdre C Grimes, CFNP

  • Family Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1023430345
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-02335 Issued in NM
Practice address
1421 Luisa St Ste I
Santa Fe, NM 87505-4073
Phone
(505) 982-8338
Fax
(505) 982-8393
NPI assigned
Jan 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-02335 NM Primary

Addresses

Primary practice location

1421 Luisa St Ste I
Santa Fe, NM 87505-4073

Mailing address

1421 Luisa St Ste I
Santa Fe, NM 87505-4073
Phone (505) 982-8338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20140717001051 NM Practitioner - Nurse Practitioner 6800012451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John S Caskey MD LLCGroup PAC ID 8820197684, 5 clinicians

Practice addresses (Care Compare)

1421 Luisa St
Suite 1
Santa Fe, NM 87505-4073
Phone (505) 982-8338

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John S Caskey M.D., LLC CurrentSince Mar 18, 2014 Accepting new patients
Northern NM Medical Management, LLC PastSince Mar 18, 2014 Accepting new patients

Locations

1421 Luisa St
Ste 1
Santa Fe, NM 87505
Phone (505) 982-8338

1421 Luisa St
Ste I
Santa Fe, NM 87505
Phone (505) 982-8338

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3876/brand/1/csg/1/fhir/r4
  • Direct secure messaging: deirdre.grimes.1@3876.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1023430345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 LUISA ST STE I",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054073",
            "telephone_number": "505-982-8338",
            "fax_number": "505-982-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 LUISA ST STE I",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054073",
            "telephone_number": "505-982-8338",
            "fax_number": "505-982-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "DEIRDRE",
        "middle_name": "C",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.