Active NPI
Arielle Grimmage
- Licensed Practical Nurse
- East Syracuse, NY
National Provider Identifier
1437810678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 323556
- Practice address
- 107 W 2ND St
East Syracuse, NY 13057-2803 - Phone
- (315) 901-1943
- NPI assigned
- Jan 9, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 323556 | NY | Primary |
Addresses
Primary practice location
107 W 2ND St
East Syracuse, NY 13057-2803
Mailing address
107 W 2ND St
East Syracuse, NY 13057-2803
Phone (315) 901-1943
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370483695 | Other | NY | DRIVERS LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ariellegrimmage@yahoo.ca |
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 |
|---|---|---|---|
| 323556 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1437810678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 W 2ND ST",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130572803",
"telephone_number": "315-901-1943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 W 2ND ST",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130572803",
"telephone_number": "315-901-1943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMMAGE",
"first_name": "ARIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-09",
"last_updated": "2022-07-21",
"certification_date": "2022-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "323556",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "370483695",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Ariellegrimmage@yahoo.ca",
"affiliation": "N",
"address_1": "107 W 2nd St",
"city": "East Syracuse",
"state": "NY",
"country_code": "US",
"postal_code": "130572803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.