Tammy Grim, HAIR LOSS PRACTIONER

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

090550 Issued in MO

Practice address

209 W 2ND St Ste 110
Washington, MO 63090-2147

Phone

(636) 286-6717

Fax

(636) 286-6717

NPI assigned

Jun 15, 2026

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": "1781481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1487589248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W 2ND ST STE 110",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630902147",
            "telephone_number": "636-286-6717",
            "fax_number": "636-286-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W 2ND ST STE 110",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630902147",
            "telephone_number": "636-286-6717",
            "fax_number": "636-286-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIM",
        "first_name": "TAMMY",
        "credential": "HAIR LOSS PRACTIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MO",
            "license": "090550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilou Grainger, CRNA
• Ashley M Gratza, FNP
• Miranda Green, LPC
• Jill Grgurich
• Melissa Danielle Grim, LICENSED TATTOO ARTI
• Sharon A. R. Grimes, RN, MSN, CPNP
• Alexandria Colleen Grodie, PMHNP
• Karen M Gross, ANP
• Shirley Marie Gross
• Peter M. Gubany, O.D.

• Prosthetic/Orthotic Supplier in Washington, MO
• Providers in Washington, MO by specialty
• Prosthetic/Orthotic Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.