Jerri Suzette Grisham

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

674472 Issued in TX

Practice address

3708 20TH St
Lubbock, TX 79410-1228

Phone

(806) 744-8999

NPI assigned

Feb 20, 2018

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

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1326548959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 W 4TH ST",
            "city": "LITTLEFIELD",
            "state": "TX",
            "postal_code": "793393003",
            "telephone_number": "806-385-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 20TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101228",
            "telephone_number": "806-744-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISHAM",
        "first_name": "JERRI",
        "middle_name": "SUZETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "674472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbie Annett Grimes, PHARM.D.
• Donald Arthur Grimes, D.D.S.
• Jerry Speight Grimes Jr., M.D.
• Robert Hunter Grimes, D.D.S.
• Grinbath, LLC
• John Anthony Griswold Jr., M.D.
• Stephanie Lynn Grizzard, LPC-A
• Sergei A Gromov, MD PHD
• Michael Nicholas Gross, DC
• Dallin Thayne Grover, DPT

• All providers in Lubbock, TX
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.