Bianca Grimshaw, MS, ATC, OTC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

19-0605

Practice address

215 Central Ave Ste 201
Louisville, KY 40208-1451

Phone

(502) 637-7678

Fax

(502) 588-7589

NPI assigned

Nov 2, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1083087993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 CENTRAL AVE STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081451",
            "telephone_number": "502-637-7678",
            "fax_number": "502-588-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CENTRAL AVE STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081451",
            "telephone_number": "502-637-7678",
            "fax_number": "502-588-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMSHAW",
        "first_name": "BIANCA",
        "credential": "MS, ATC, OTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT1377",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "19-0605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Grimaldi, MD
• Laurie Mount Grimes, PH.D.
• Stephanie Fawbush Grimes, RD, LD
• Andrew J Grimm
• Benjamin Joseph Grimm
• Baeda Hodges Grimsley, APRN
• Kaitlin Pardieck Grindlay, MD
• Amber Jean Griner, COTA/L
• Gina Grissom, LPCC
• Katherine Grissom, RBT

• Surgical Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Surgical Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.