Individual provider Active NPI

Lori Ann Grimes, MAC,LAC,MBA

  • Acupuncturist
  • Columbia, MD
National Provider Identifier
1033494760
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
UO1924 Issued in MD
Practice address
5570 Sterrett PL
Suite 308
Columbia, MD 21044-2641
Phone
(301) 257-0414
NPI assigned
Oct 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X UO1924 MD Primary

Addresses

Primary practice location

5570 Sterrett PL
Suite 308
Columbia, MD 21044-2641

Mailing address

7937 Tralee CT
Laurel
Laurel, MD 20723-1158
Phone (301) 257-0414

Other names 1

  • Ms. Lori Ann Grimes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
UO1924MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1033494760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7937 TRALEE CT",
            "address_2": "LAUREL",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231158",
            "telephone_number": "301-257-0414",
            "fax_number": "301-776-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 STERRETT PL",
            "address_2": "SUITE 308",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442641",
            "telephone_number": "301-257-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MAC,LAC,MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "UO1924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "GRIMES",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "MAC, LAC, MBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.