Krista Marie Grimmett, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110-006375 Issued in VA

Practice address

202 Gardenville Dr
Yorktown, VA 23693-4408

Phone

(340) 690-3725

NPI assigned

Jan 5, 2019

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Coastal Medical and Psychiatric Services IncGroup PAC ID 4183948060, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: greenbrooktmsva.kristagrimmett@158766.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Medical and Psychiatric Services Inc.

  • Psychiatry Physician
  • Newport News, VA
  • NPI 1134460132
  Medicare reassignment Care Compare group
• Alpha Psychiatric Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesapeake, VA
  • NPI 1427525294
  Medicare reassignment
• Greenbrook TMS Roanoke

  • Psychiatry Physician
  • Roanoke, VA
  • NPI 1427561059
  NPD (past)

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

{
    "created_epoch": "1546646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546646400000",
    "number": "1477026128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 GARDENVILLE DR",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236934408",
            "telephone_number": "340-690-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 GARDENVILLE DR",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236934408",
            "telephone_number": "340-690-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMMETT",
        "first_name": "KRISTA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-05",
        "last_updated": "2019-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-006375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taryn Raye Grasty
• Tyra Nicole Graves, CCC-SLP
• Lee Green Sr.
• Nicole Elaine Grey
• Carolyn Griffith, LPC
• Yu Guan, M.D.
• Barbara Jordan Guemple, RPH
• Gunderman Chiropractic & Wellness LLC
• Samuel J Gunderman III, D.C.
• Samuel J. Gunderman Jr., D.C.

• Physician Assistant in Yorktown, VA
• Providers in Yorktown, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.