Yolanda Anternett Grimes, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5185376 Issued in FL

Practice address

841 Prudential Dr Ste 1241
Jacksonville, FL 32207-8329

Phone

(904) 803-8358

Fax

(888) 676-4449

NPI assigned

Feb 9, 2021

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

Other names 1

• Yolanda Anternett Grimes Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lois Labs LLC

  • Clinical Medical Laboratory
  • Jacksonville, FL
  • NPI 1558116251

  Licensed Practical Nurse

  NPD Authorized official
• Secure Medical Staffing Inc.

  • Contractor
  • Jacksonville, FL
  • NPI 1356994446
  NPD Authorized official

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1508458688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR STE 1241",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078329",
            "telephone_number": "904-803-8358",
            "fax_number": "888-676-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR STE 1241",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078329",
            "telephone_number": "904-803-8358",
            "fax_number": "888-676-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "YOLANDA",
        "middle_name": "ANTERNETT",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5185376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOLANDA",
            "last_name": "GRIMES",
            "middle_name": "ANTERNETT",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brian Grimard, MD
• Angela Grimball, PHARMD
• Hallie Elizabeth Grimes
• Joshua Kyle Grimes
• Linda Lee Grimes
• Richard Scott Grimshaw, O.D.
• Richard R. Grimsley, MD
• Lea Grinberg-Korczyn, M.D, PHD
• Shane D Grindle, APRN
• Breanna Griner

• Licensed Practical Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.