Tyreia Louise Grimes, PRS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.000528 Issued in OH

Practice address

2180 Romig Rd
Akron, OH 44320-3879

Phone

(234) 334-3406

Fax

(234) 334-3456

NPI assigned

May 22, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1376034728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 GIRARD AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447042142",
            "telephone_number": "234-425-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 ROMIG RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443203879",
            "telephone_number": "234-334-3406",
            "fax_number": "234-334-3456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 W Market St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443137000",
            "country_code": "US",
            "telephone_number": "855-747-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "TYREIA",
        "middle_name": "LOUISE",
        "name_prefix": "Miss",
        "credential": "PRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.000528",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0490996",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renea Michelle Grigsby
• Brittney Chanae Grimes
• Heather Grimes, LSW
• Jordan David Grimes
• Kevin Ray Grimes, LSW
• Melissa S Grimm, RN, CNS, BC
• Wyatt Grimm, D.O.
• Jacob Grimmer, DO
• Mary Elizabeth Nelson Grimmett, NURSE PRACTITIONER
• Marcellan Louise Grimsley, LPC

• Peer Specialist in Akron, OH
• Providers in Akron, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.