Kristin A Grimes, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

MD12296 Issued in RI

Practice address

175 Nate Whipple Hwy Ste 102
Cumberland, RI 02864-1422

Phone

(401) 334-5437

Fax

(401) 334-3571

NPI assigned

Jun 21, 2007

Last updated

Mar 7, 2023By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Northern Rhode Island Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Cumberland, RI
  • NPI 1215015136
  NPD (past)
• Nri Pediatrics PC

  • Pediatric Adolescent Medicine Physician
  • Cumberland, RI
  • NPI 1427355791
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1063618783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 NATE WHIPPLE HWY STE 102",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028641422",
            "telephone_number": "401-334-5437",
            "fax_number": "401-334-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NATE WHIPPLE HWY STE 102",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028641422",
            "telephone_number": "401-334-5437",
            "fax_number": "401-334-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "KRISTIN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2023-03-07",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD12296",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "RI",
            "license": "MD12296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD12296",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warren Goolgasian II
• Blythe C. Gould
• Olivia J Gould
• Jonathan Roger Gramolini, DC
• Greater Providence Chapter,Riarc (John E. Fogarty Center)
• Lindsey Grissom
• Amanda Elizabeth Guerra
• Carrie L Guerra, PT, DPT
• Krishanu Bappa Gupta, M.D., PH.D.
• Rajeev K Gupta, MD

• Pediatric Adolescent Medicine Physician in Cumberland, RI
• Providers in Cumberland, RI by specialty
• Pediatric Adolescent Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.