Kristin Lynch Grimes, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

301033 Issued in LA

Practice address

6516 E Myrtle Ave
Baker, LA 70714-4348

Phone

(225) 774-7320

Fax

(225) 774-5432

NPI assigned

Mar 18, 2013

Last updated

Feb 11, 2021By the provider in NPPES

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 identifiers 1

Other names 1

• Kristin D Lynch Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgrimes114603@direct.casso.us.com
• Direct secure messaging: kristin.grimes.1@28789.direct.athenahealth.com

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

• The Louisiana Center for Health and Wellness LLC

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1821795337
  Medicare reassignment NPD Authorized official
• Dr. K's Family Medicine

  • Rural Health Clinic/Center
  • Bogalusa, LA
  • NPI 1265971147
  Medicare reassignment NPD

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1558603563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6516 E MYRTLE AVE",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707144348",
            "telephone_number": "225-774-7320",
            "fax_number": "225-774-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516 E MYRTLE AVE",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707144348",
            "telephone_number": "225-774-7320",
            "fax_number": "225-774-5432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11424 Sullivan Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708183615",
            "country_code": "US",
            "telephone_number": "225-774-7320",
            "fax_number": "225-261-7258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "KRISTIN",
        "middle_name": "LYNCH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-18",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "301033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2329146",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgrimes114603@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "kgrimes114603@direct.casso.us.com",
            "address_1": "6516 E Myrtle Ave",
            "city": "Baker",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707144348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "6516 E Myrtle Ave",
            "city": "Baker",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707144348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "LYNCH",
            "middle_name": "D",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• God's Hands Providers, LLC
• Christy Graves
• Racquel Green
• Tangela Green
• Layokey Grimes-Sims
• Wendell Ellis Grimes, D.D.S.
• Jaylan Jajuan Guidry, B.S
• Monique Hall, LCSW
• Taja Hamilton
• Angel Haney, BA

• Internal Medicine Physician in Baker, LA
• Providers in Baker, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.