Dawn Lynn Grigsby, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Scott Depot, WV
NPI 1114150398 · NPPES record last updated Aug 2, 2019
Key facts
- NPI
- 1114150398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 41107 (WV)
- Practice address
- 97 Great Teays Blvd
Ste 6
Scott Depot, WV 25560-9815 - Phone
- (304) 757-6999
- Fax
- (304) 757-3252
- NPI assigned
- Sep 3, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091105000558 | WV | Practitioner - Nurse Practitioner | 1951449222 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41107 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womencare Inc | Current |
Accepting new patients | |
| Womencare, Inc | Current |
Accepting new patients | |
| Womencare Inc | Current |
Accepting new patients | |
| Womencare Inc | Current |
Accepting new patients | |
| Womencare Inc | Current |
Accepting new patients | |
| Womencare, Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare, Inc | Current |
Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Women Care Inc | Family | Current | Accepting new patients |
| Womencare Inc | Current |
Accepting new patients | |
| Womencare, Inc | Current | Accepting new patients | |
| Womencare Inc | Current |
Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients |
Locations
2 Chateau Ln
Barboursville, WV 25504
Phone (304) 736-9459
800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550
812 Park Ave
Rm 35
Charleston, WV 25302
100 Florida St
Charleston, WV 25302
Phone (304) 348-6613
1500 Greenbrier St
Ste 160
Charleston, WV 25311
108 Washington St W
Ste 201
Charleston, WV 25302
Phone (304) 345-2229
830 Pennsylvania Ave
Ste 402
Charleston, WV 25302
Phone (304) 343-4177
1220 Lee St E
Ste 201
Charleston, WV 25301
Phone (304) 342-7186
116 Hills Plz
Charleston, WV 25387
Phone (304) 720-4446
501 Stockton St
Charleston, WV 25387
Phone (304) 720-4466
812 Park Ave
#35
Charleston, WV 25302
Phone (304) 720-4466
5161 Washington St W
Cross Lanes, WV 25313
Phone (304) 722-7600
301 Washington Ave
Dunbar, WV 25064
Phone (304) 766-3323
301 Washington Ave
Rm 4
Dunbar, WV 25064
503 Roosevelt Blvd
Eleanor, WV 25070
Phone (304) 586-0001
3109 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 562-2002
3911 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-4845
515 Main St
Madison, WV 25130
Phone (304) 369-0393
9709 Maccorkle Ave
#B
Marmet, WV 25315
12 Kanawha Ter
Saint Albans, WV 25177
Phone (304) 201-1130
97 Great Teays Blvd
Ste 6
Scott Depot, WV 25560
4513 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 768-7371
11883 Winfield Rd
Winfield, WV 25213
Interoperability endpoints
- dawn.grigsby.1@7363.direct.athenahealth.com
- https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 41107 | WV | Yes |
Addresses
Primary practice location
97 Great Teays Blvd
Ste 6
Scott Depot, WV 25560-9815
Mailing address
97 Great Teays Blvd
Ste 6
Scott Depot, WV 25560-9815
Phone (304) 757-6999
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810016001 | Medicaid | WV | |
| 1114150398 | Medicaid | WV |
Other providers in Scott Depot, WV
- Emily Henley Gibson
- Grace Ann Gibson
- Amanda Gooch
- Beverly Graham
- Kayla Greene
- Ashley R Grimmett
- Alexis Grose
- Stephanie Leigh Halpern
- Blayre Marylynn Hamlet
- Elizabeth M Hardy
All providers in Scott Depot, WV · Family Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.