Active NPI
Jared Allan Grimes, NBC-HIS
- Hearing Instrument Specialist
- Palm Harbor, FL
National Provider Identifier
1396323291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1589
- Practice address
- 33917 US Highway 19 N
Palm Harbor, FL 34684-2628 - Phone
- (727) 772-8770
- Fax
- (727) 772-8770
- NPI assigned
- Mar 31, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1589 | NC | Primary |
Addresses
Primary practice location
33917 US Highway 19 N
Palm Harbor, FL 34684-2628
Mailing address
5031 Pretty Way
Panama City, FL 32404-3210
Phone (404) 557-3599
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1589 | NC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1396323291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5031 PRETTY WAY",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324043210",
"telephone_number": "404-557-3599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33917 US HIGHWAY 19 N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346842628",
"telephone_number": "727-772-8770",
"fax_number": "727-772-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMES",
"first_name": "JARED",
"middle_name": "ALLAN",
"credential": "NBC-HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-31",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NC",
"license": "1589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.