Individual provider Active NPI

Sharon Beth Grimes, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Milford, OH
National Provider Identifier
1215428669
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0027634 Issued in OH
Practice address
675 Hobby Horse LN
Milford, OH 45150-1461
Phone
(513) 443-1700
Fax
(855) 919-6229
NPI assigned
May 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 428075 OH
Registered Nurse 163W00000X RN749771 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP024934 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0027634 OH Primary

Addresses

Primary practice location

675 Hobby Horse LN
Milford, OH 45150-1461

Mailing address

2015 Mathews Rd
Poland, OH 44514-1463
Phone (234) 313-5870

Other practice location 1

2015 Mathews Rd
Poland, OH 44514-1463
Phone (234) 313-5870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221014002788 OH Practitioner - Nurse Practitioner 4284025685 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
428075OHMDRegistered Nurse
RN749771PAMDRegistered Nurse
APRN.CNP.0027634OHMDPsychiatric/Mental Health Nurse Practitioner
SP024934PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lswhb LLC CurrentSince Sep 13, 2022 Accepting new patients
Inspire Behavioral Health Psychiatric/Mental Health CurrentSince Sep 1, 2024 Accepting new patients
Travco Behavioral Health, Inc. Past Accepting new patients
Travco Behavioral Health, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ethoscareinc.sharongrimes@151221.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1215428669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 MATHEWS RD",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141463",
            "telephone_number": "234-313-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 HOBBY HORSE LN",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501461",
            "telephone_number": "513-443-1700",
            "fax_number": "855-919-6229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Mathews Rd",
            "address_purpose": "LOCATION",
            "city": "Poland",
            "state": "OH",
            "postal_code": "445141463",
            "country_code": "US",
            "telephone_number": "234-313-5870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "SHARON",
        "middle_name": "BETH",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "428075",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN749771",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP024934",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0027634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

Verify at the official NPI Registry.