Individual provider Active NPI

Jimmy Dale Grimes

  • Non-emergency Medical Transport (VAN)
  • Cape Coral, FL
National Provider Identifier
1235913567
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
NH5915 Issued in FL
Practice address
3617 Surfside Blvd
Cape Coral, FL 33914-4884
Phone
(574) 208-7345
NPI assigned
Aug 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NH5915 FL Primary

Addresses

Primary practice location

3617 Surfside Blvd
Cape Coral, FL 33914-4884

Mailing address

3617 Surfside Blvd
Cape Coral, FL 33914-4884
Phone (574) 208-7345

Other practice location 1

3617 Surfside Blvd
Cape Coral, FL 33914-4884
Phone (574) 208-7345

Other practice location 2

3617 Surfside Blvd
Cape Coral, FL 33914-4884
Phone (574) 208-7345

Other practice location 3

3617 Surfside Blvd
Cape Coral, FL 33914-4884
Phone (574) 208-7345

Other practice location 4

3617 Surfside St.
Cape Coral, FL 33914
Phone (574) 208-7345

Other practice location 5

3617 Surfside Blvd
Cape Coral, FL 33914-4884
Phone (574) 208-7345

Other practice location 6

3617 Surfside Blvd
Cape Coral, FL 33914-4884
Phone (574) 208-7345

Other practice location 7

3617 Surfside Blvd
Cape Coral, FL 33914-4884
Phone (574) 208-7345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meesh Transportation LLC CurrentSince Sep 5, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1235913567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 SURFSIDE BLVD",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339144884",
            "telephone_number": "574-208-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 SURFSIDE BLVD",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339144884",
            "telephone_number": "574-208-7345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3617 Surfside Blvd",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339144884",
            "country_code": "US",
            "telephone_number": "574-208-7345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3617 Surfside Blvd",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339144884",
            "country_code": "US",
            "telephone_number": "574-208-7345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3617 Surfside Blvd",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339144884",
            "country_code": "US",
            "telephone_number": "574-208-7345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3617 Surfside St.",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "33914",
            "country_code": "US",
            "telephone_number": "574-208-7345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3617 Surfside Blvd",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339144884",
            "country_code": "US",
            "telephone_number": "574-208-7345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3617 Surfside Blvd",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339144884",
            "country_code": "US",
            "telephone_number": "574-208-7345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3617 Surfside Blvd",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339144884",
            "country_code": "US",
            "telephone_number": "574-208-7345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "JIMMY",
        "middle_name": "DALE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "NH5915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.