Katelyn Elizabeth Grimes, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126002177 Issued in VA

Practice address

1000 S State St
Ann Arbor, MI 48109-2201

Phone

(804) 201-1728

Fax

(734) 936-5182

NPI assigned

Dec 4, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1285031336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROBINS CENTER ROOM 155 317 COLLEGE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "231730001",
            "telephone_number": "804-289-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481092201",
            "telephone_number": "804-201-1728",
            "fax_number": "734-936-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "KATELYN",
        "middle_name": "ELIZABETH",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA BOARD OF MEDICINE",
            "identifier": "0126002177",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Grillo
• Lisa Gail Grilly, MD
• Andrew Grim, MD
• Connor Grimes, D.D.S.
• Jane Elizabeth-Lindsay Grimes, OTRL
• Spring Lenette Grimes, SW LBSW
• Cynthia Grimston, PA-C
• Sharon E Grob, MSW
• Nicole Grode
• Celia J Groenhout, MD

• Athletic Trainer in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.