Johnnie Mae Grimes

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

16277 SE Highway 19
Cross City, FL 32628-3502

Phone

(352) 498-0338

Fax

(352) 498-3044

NPI assigned

Nov 25, 2013

Last updated

Nov 25, 2013By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1053741249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16277 SE HIGHWAY 19",
            "city": "CROSS CITY",
            "state": "FL",
            "postal_code": "326283502",
            "telephone_number": "352-498-0338",
            "fax_number": "352-498-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16277 SE HIGHWAY 19",
            "city": "CROSS CITY",
            "state": "FL",
            "postal_code": "326283502",
            "telephone_number": "352-498-0338",
            "fax_number": "352-498-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "JOHNNIE",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dixie County School District
• Megan Genevieve Flanagan
• Florida Department of Health
• GNT Associates, LLC
• Christy L. Green
• Taylor Mae Jones, STUDENT
• Kinder Cub School, Inc
• Dena Temeka Kirkland
• John Clifford Knight, PHYSICIANS ASSISTANT
• Wanda B Liddell, ARNP

• Contractor in Cross City, FL
• Providers in Cross City, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.