Renee Maria Grubbs, NP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

R221660 Issued in MD

Practice address

36725 Joan Dr
Mechanicsville, MD 20659-5830

Phone

(850) 381-4677

NPI assigned

Jun 1, 2022

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Kingdomhealthllc

  • Health Service Clinic/Center
  • Mechanicsville, MD
  • NPI 1609606003
  NPD Authorized official

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1326787102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36725 JOAN DR",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206595830",
            "telephone_number": "850-381-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36725 JOAN DR",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206595830",
            "telephone_number": "850-381-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBBS",
        "first_name": "RENEE",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "NP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R221660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Gick, ATC
• Gina McCray DDS PA
• Erik Scott Glassman, CCEMT-P, FP-C, EMT-T
• Golden Oasis Healthcare Services LLC
• Kelli Hill Goldsborough, FNP-C
• Victor Gabriel Guevara, O.D.
• Tina Marie Haak, R.N.
• Valerie Michele Hammett, PT
• Helixcare Medical Group, LLC
• Decislava Petrova Herriman, LMSW34241

• Acute Care Nurse Practitioner in Mechanicsville, MD
• Providers in Mechanicsville, MD by specialty
• Acute Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.