Jenna Emily Grimm, LNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

0024168872 Issued in VA

Practice address

10521 Rosehaven St
Suite LL 100
Fairfax, VA 22030-2837

Phone

(703) 281-5000

Fax

(703) 281-3491

NPI assigned

Jul 9, 2010

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

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: granatogroup.jennagrimm@144557.advancedmd-direct.com
• Direct secure messaging: jenna.grimmleft.p1@direct.cwcare.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Capital Women'S Care, L.L.C.

  • Obstetrics & Gynecology Physician
  • Fulton, MD
  • NPI 1679534069

  DC

  Medicare reassignment
• Commonwealth Counseling Associates Inc

  • Clinical Psychologist
  • Mechanicsville, VA
  • NPI 1851345805

  Psychiatric/Mental Health

  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1184936908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20925 PROFESSIONAL PLZ STE 230",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473403",
            "telephone_number": "703-621-7121",
            "fax_number": "703-665-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10521 ROSEHAVEN ST",
            "address_2": "SUITE LL 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302837",
            "telephone_number": "703-281-5000",
            "fax_number": "703-281-3491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20925 Professional Plz Ste 230",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201473403",
            "country_code": "US",
            "telephone_number": "703-621-7121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "JENNA",
        "middle_name": "EMILY",
        "credential": "LNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024168872",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "VA",
            "license": "0024168872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wei Shen Dai Griggs, MD
• Lindsey Fitzgerald Grilliot, PT
• Lynn Grillo, NP
• Kimberley Grimes, LCSW
• Jennifer Grimley
• Samuel Oliver Grimm III, M.D.
• John Robert Grimsley
• Diane Marie Grinage, M.A., M.S. - CCC/SLP
• Naomi Grinney, LCSW
• Meredith Kathleen Grisamore, M.ED. CCC-SLP

• Obstetrics & Gynecology Nurse Practitioner in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Obstetrics & Gynecology Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.