Joyce Elizabeth Grimm, GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

4704171005 Issued in MI

Practice address

2567 W Grand Blvd
Detroit, MI 48208-1235

Phone

(313) 895-5340

NPI assigned

Mar 31, 2007

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073633913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15224 HAVERHILL DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441933",
            "telephone_number": "586-247-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2567 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081235",
            "telephone_number": "313-895-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "JOYCE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "GNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704171005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Christine Grimaudo, M.D.
• Ashley Grimes, LLPC
• Brianna Jean Grimes, MD
• Kellee Syrena Grimes, LPN
• Tiffany Richelle Grimes
• Matthew Grimm
• Shanna Lee Grinage-Domingue
• Fatiha Grissi, MD
• Griswold Pharmacy Inc (Griswold Pharmacy)
• Agostino Julian Grittani, M.D

• Gerontology Nurse Practitioner in Detroit, MI
• Providers in Detroit, MI by specialty
• Gerontology Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.