Nicola Marie Grimes, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

KY1900 Issued in KY

Practice address

2420 W 3Rd St
Owensboro, KY 42301-0328

Phone

(270) 685-3141

Fax

(270) 684-4867

NPI assigned

Mar 31, 2010

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1154646347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MORGAN LN",
            "city": "UTICA",
            "state": "KY",
            "postal_code": "423769062",
            "telephone_number": "270-733-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 W 3RD ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423010328",
            "telephone_number": "270-685-3141",
            "fax_number": "270-684-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "NICOLA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY1900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Ann Gresham, NP
• Eric P. Griffin, M.D.
• Mary Tim Griffin, RD
• Rachel K Griffith
• Kenneth Lewayn Grimes, RN
• Ann Louise Gross-Friedley, RN
• Kelsey Ann Grothouse
• Richard Louis Gruenewald, M.D.
• Leonel Guido Cuadra, MD
• Renee Guinn, SLP

• Speech-Language Pathologist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.