Active NPI
Kathleen A Grimm, CRNA
- Certified Registered Nurse Anesthetist
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704114284
- Practice address
- 23901 Lahser Rd
Southfield, MI 48034-6035 - Phone
- (248) 357-3360
- Fax
- (248) 357-0915
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704114284 | MI | Primary |
Addresses
Primary practice location
23901 Lahser Rd
Southfield, MI 48034-6035
Mailing address
6684 Meldrum Rd
Fair Haven, MI 48023-2001
Phone (586) 725-8062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KG114284 | Other | MI | BCBSM NUMBER |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current | Accepting new patients | |
| Straith Hospital for Special Surgery | Current | Accepting new patients | |
| Henry Ford Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Straith Hospital for Special Surgery | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Straith Hospital for Special Surgery | Current | Accepting new patients | |
| West Coast Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| McLaren Flint | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Straith Hospital for Special Surgery | Past | Accepting new patients |
Locations
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
23901 Lahser Rd
Southfield, MI 48033
Phone (248) 357-3360
Interoperability endpoints
- kgrimm119287@direct.hfhs.org
Organizations & group practices 8
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.
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1871666479
Nurse Anesthetist, Certified Registered
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Behavior Analyst
- Southfield, MI
- NPI 1467296277
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1548268436
-
- Anesthesiology Physician
- Southfield, MI
- NPI 1881743417
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Flint, MI
- NPI 1346373339
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1710037221
-
- Anesthesiology Physician
- Muskegon, MI
- NPI 1780603944
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1285678060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6684 MELDRUM RD",
"city": "FAIR HAVEN",
"state": "MI",
"postal_code": "480232001",
"telephone_number": "586-725-8062",
"fax_number": "248-357-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23901 LAHSER RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480346035",
"telephone_number": "248-357-3360",
"fax_number": "248-357-0915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMM",
"first_name": "KATHLEEN",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704114284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM NUMBER",
"identifier": "KG114284",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.