Chrystal Lanette Grimes, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

263021 Issued in CA

Practice address

1600 Hurrle St
Bakersfield, CA 93308-2409

Phone

(661) 394-0392

NPI assigned

Dec 6, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1225306152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E F ST",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935611710",
            "telephone_number": "661-822-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HURRLE ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933082409",
            "telephone_number": "661-394-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "CHRYSTAL",
        "middle_name": "LANETTE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "263021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Monique Grijalva
• Maria Grijalva, AU.D.
• Patrick Joe Grijalva, B.A.
• Sheila Grijalva
• Brittney Ladawn Grimes, BA, MS
• James B Grimes, MD
• Karnell L Grimes
• Sharen Grimes
• Pamela Sue Grimm
• Karina Grinberg, MD

• Licensed Practical Nurse in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Licensed Practical Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.