Shane D Grindle, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11001741 Issued in FL

Practice address

7855 Argyle Forest Blvd Ste 601
Jacksonville, FL 32244-7704

Phone

(904) 778-3389

Fax

(904) 778-3395

NPI assigned

Mar 7, 2019

Sex

Male

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1558829655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 ARGYLE FOREST BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445597",
            "telephone_number": "904-282-6331",
            "fax_number": "904-282-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 ARGYLE FOREST BLVD STE 601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322447704",
            "telephone_number": "904-778-3389",
            "fax_number": "904-778-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINDLE",
        "first_name": "SHANE",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Lee Grimes
• Yolanda Anternett Grimes, LPN
• Richard Scott Grimshaw, O.D.
• Richard R. Grimsley, MD
• Lea Grinberg-Korczyn, M.D, PHD
• Breanna Griner
• Michael Grinney, MD
• Laura J Grippa, MD
• Wendy Griscom, CRNA
• Deborah Hickernell Grisnik, O.T.R.

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.