Connie L Grimsley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1335 Issued in LA

Practice address

208 W Gloria Switch Rd Ste 211
Lafayette, LA 70507-3409

Phone

(337) 565-4082

Fax

(888) 510-5167

NPI assigned

May 12, 2006

Last updated

Jun 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Connie L Grimsley, D.C.

  • Chiropractor
  • Lafayette, LA
  • NPI 1528541299
  Medicare reassignment NPD Authorized official
• Bochm-Cabanas Chiropractic Center

  • Chiropractor
  • Lafayette, LA
  • NPI 1720302300
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1053362459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W GLORIA SWITCH RD STE 211",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705073409",
            "telephone_number": "337-565-4082",
            "fax_number": "888-510-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W GLORIA SWITCH RD STE 211",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705073409",
            "telephone_number": "337-565-4082",
            "fax_number": "888-510-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMSLEY",
        "first_name": "CONNIE",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "G8613",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "664738",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamra Camille Griffin, M.S., LPC
• Michael Lee Griffith, L.C.S.W.
• Matthew Taylor Griggs, DPT
• April Grigsby
• Miranda Clara Grimes
• Shaunda Katrise Grisby
• Brad A Grizzaffi, D.C.
• Jeffery Ryan Grizzaffi, D.P.M.
• Ashley Gros Laborde, D.C.
• Brad Michael Gros, LPC-S

• Chiropractor in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.