La Rea Ann Grimshaw, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L0056826 Issued in OK

Practice address

4400 Katie Ridge Dr
Moore, OK 73160-6269

Phone

(405) 246-6106

NPI assigned

Dec 28, 2012

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

State licenses

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1477899037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 KATIE RIDGE DR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606269",
            "telephone_number": "405-246-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 KATIE RIDGE DR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606269",
            "telephone_number": "405-246-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMSHAW",
        "first_name": "LA REA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "L0056826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Greenroyd, M.P.T.
• Clara Clifford Griffin
• Clinton Don Griffin
• Allison Kay Griffiths
• Madilynn Grimes
• Ashton Kaye Patricia Grose
• Amy Jeanne Guderjohn
• Jennifer Guerra, LPC
• Ashley Guinn
• Lisa Gunn

• Licensed Practical Nurse in Moore, OK
• Providers in Moore, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.