Stephanie Fawbush Grimes, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86056577 Issued in NU

Practice address

1411 E Breckinridge St
Louisville, KY 40204-1707

Phone

(859) 814-3306

NPI assigned

Sep 19, 2023

Last updated

Sep 19, 2023By the provider in NPPES

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

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1437937505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 E BRECKINRIDGE ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041707",
            "telephone_number": "859-814-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 E BRECKINRIDGE ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041707",
            "telephone_number": "859-814-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "STEPHANIE",
        "middle_name": "FAWBUSH",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "86056577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen O'Neil Grigutis, ARNP
• Jeffrey Thomas Grill, M.D.
• Linda Lee Grill, LCSW
• Manuel Grimaldi, MD
• Laurie Mount Grimes, PH.D.
• Andrew J Grimm
• Benjamin Joseph Grimm
• Bianca Grimshaw, MS, ATC, OTC
• Baeda Hodges Grimsley, APRN
• Kaitlin Pardieck Grindlay, MD

• Registered Dietitian in Louisville, KY
• Providers in Louisville, KY by specialty
• Registered Dietitian in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.