Suzanne Grim, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

802374 Issued in NY

Practice address

9 N Clinton Ave
Bay Shore, NY 11706-7821

Phone

(631) 665-5873

NPI assigned

Mar 9, 2022

Last updated

Mar 9, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1174270151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 PINE AVE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952720",
            "telephone_number": "631-383-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N CLINTON AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067821",
            "telephone_number": "631-665-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIM",
        "first_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "802374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spsnurse@spsbayshore.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bay Shore",
            "address_1": "9 N Clinton Ave",
            "city": "Bay Shore",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117067821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Danielle Gregory, CRNA, RN, BSN, MSN
• Mary Elizabeth Gregory
• Sara Michelle Greiche
• Rosetta Grella, MD
• Hibernia Griffith
• Nkiru R Gritten, LPN
• Jonathan Grossman, LCSW
• Michele Ann Grossman, D.O.
• Robert Grossman
• Maria Teresa Grubman, FAMILY NP

• School Registered Nurse in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.