Active NPI
Shannon E. Grames, CST, CSFA
- Surgery Physician
- Science Hill, KY
National Provider Identifier
1396329165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 198153
- Practice address
- 420 Stilesville Rd
Science Hill, KY 42553-7410 - Phone
- (606) 219-0900
- NPI assigned
- May 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 198153 | MI | Primary |
Addresses
Primary practice location
420 Stilesville Rd
Science Hill, KY 42553-7410
Mailing address
420 Stilesville Rd
Science Hill, KY 42553-7410
Phone (606) 219-0900
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 |
|---|---|---|---|
| 198153 | MI | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620345600000",
"number": "1396329165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 STILESVILLE RD",
"city": "SCIENCE HILL",
"state": "KY",
"postal_code": "425537410",
"telephone_number": "606-219-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 STILESVILLE RD",
"city": "SCIENCE HILL",
"state": "KY",
"postal_code": "425537410",
"telephone_number": "606-219-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAMES",
"first_name": "SHANNON",
"middle_name": "E.",
"credential": "CST, CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-07",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "198153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Science Hill, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.