Reagan Grimmett

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

116579 Issued in WV

Practice address

506 Holly Avenue
Logan, WV 25601

Phone

(304) 792-2060

NPI assigned

Dec 2, 2024

Last updated

Dec 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1518783950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "BRUNO",
            "state": "WV",
            "postal_code": "256110266",
            "telephone_number": "304-688-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 HOLLY AVENUE",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "25601",
            "telephone_number": "304-792-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMMETT",
        "first_name": "REAGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WV",
            "license": "116579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Luis Gonzalez-Ramos, MD
• Genevieve Gordon
• Sabrina Lynne Grace, MS CCC-S
• Stephanie Renee Griffith
• Karan D Grimes, FNP
• Valarie Jean Grimmett
• Amit Gupta, M.D.
• Guyan Valley Hospital LLC (Guyan Valley Hospital-Swing Bed)
• Guyan Valley Hospital LLC (Guyan Valley Hospital)
• Lisa Jan Haddox-Heston, D.D.S.

• School Registered Nurse in Logan, WV
• Providers in Logan, WV by specialty
• School Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.