Organization Active NPI

Grimmett Ventures, Inc.

  • Family Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1558652123
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0070265 Issued in OK
Legal business name
GRIMMETT VENTURES, INC.
Practice address
1101 N Bryant Ave
Suite a
Edmond, OK 73034-3251
Phone
(405) 471-5522
Fax
(405) 471-5599
NPI assigned
Apr 29, 2011
Last updated
Apr 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angela D. Grimmett, ARNP
Title
Owner
Phone
(405) 226-9673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R0070265 OK Primary

Addresses

Primary practice location

1101 N Bryant Ave
Suite a
Edmond, OK 73034-3251

Mailing address

PO Box 25016
Oklahoma City, OK 73125-0016

National Provider Directory

National Provider Directory

Locations

1101 N Bryant Ave
Ste A
Edmond, OK 73034
Phone (405) 471-5522

3839 S Boulevard
Ste 100
Edmond, OK 73013
Phone (405) 471-5522

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1558652123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25016",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731250016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N BRYANT AVE",
            "address_2": "SUITE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343251",
            "telephone_number": "405-471-5522",
            "fax_number": "405-471-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIMMETT VENTURES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "GRIMMETT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-226-9673",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0070265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.