Charlotte L Grimm, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN 789 Issued in HI

Practice address

1178B Kinoole St
Hilo, HI 96720-4133

Phone

(808) 969-1427

Fax

(808) 961-4909

NPI assigned

May 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1316905045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HAILI ST STE B",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202975",
            "telephone_number": "808-961-4072",
            "fax_number": "808-961-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178B KINOOLE ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204133",
            "telephone_number": "808-969-1427",
            "fax_number": "808-961-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "CHARLOTTE",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN 789",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN43876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathew Griep
• Benjamin H Griffin
• Jennifer Jane Griffith, EMT-P
• Thomas Matthew Griffith, D.D.S.
• Philip Erik Griggs, DDS
• Maya Laura Grodzka, DPT
• Robert Grogg
• Chrisovolandou Katina Gronowski
• Scott R Grosskreutz, MD
• Guardian Flight LLC

• Family Nurse Practitioner in Hilo, HI
• Providers in Hilo, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.