Kathy Hancock Grillo, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024053012 Issued in VA

Practice address

3706Winchester Drive
Suite 200
Portsmouth, VA 23707-4332

Phone

(757) 393-4124

Fax

(757) 393-4991

NPI assigned

Jan 5, 2006

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kathygrillo@fcpc.allscriptsdirect.net

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.

• First Care Collaborative PLLC

  • Family Medicine Physician
  • Chesapeake, VA
  • NPI 1770190191
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1578541850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 RIVERSIDE DR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237071119",
            "telephone_number": "757-488-0563",
            "fax_number": "757-673-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706WINCHESTER DRIVE",
            "address_2": "SUITE 200",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237074332",
            "telephone_number": "757-393-4124",
            "fax_number": "757-393-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILLO",
        "first_name": "KATHY",
        "middle_name": "HANCOCK",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024053012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandi-Lucia Griffen
• Dominic Griffin
• Gregory Griffin, LCSW
• Tobijah T Griffin, PHYSICIAN ASSISTANT
• Leamoy Griffiths
• Jack Siler Grimes Jr., L.C.S.W.
• Matthew Grimes, DO
• Peter Ross Grinkewitz, D.P.M.
• Charles Louis Groomes IV, M.D.
• Grounded Perspective LLC

• Family Nurse Practitioner in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.