Active NPI
Beth Eudora Laxson Grubbs, CNA
- Nurse's Aide
- Morrison, TN
National Provider Identifier
1598075905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 00075884
- Practice address
- 464 Marcrom Rd
Morrison, TN 37357-6064 - Phone
- (931) 273-5503
- NPI assigned
- Oct 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 00075884 | TN | Primary |
| Chore Provider | 372500000X | 00075884 | TN | |
| Adult Companion | 372600000X | 00075884 | TN | |
| Day Training/Habilitation Specialist | 373H00000X | 00075884 | TN | |
| Technician | 374700000X | 00075884 | TN | |
| Attendant Care Provider | 3747A0650X | 00075884 | TN | |
| Personal Care Attendant | 3747P1801X | 00075884 | TN | |
| Home Health Aide | 374U00000X | 00075884 | TN | |
| Homemaker | 376J00000X | 00075884 | TN |
Addresses
Primary practice location
464 Marcrom Rd
Morrison, TN 37357-6064
Mailing address
464 Marcrom Rd
Morrison, TN 37357-6064
Phone (931) 273-5503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00075884 | TN | MD | Chore Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287446400000",
"number": "1598075905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 MARCROM RD",
"city": "MORRISON",
"state": "TN",
"postal_code": "373576064",
"telephone_number": "931-273-5503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 MARCROM RD",
"city": "MORRISON",
"state": "TN",
"postal_code": "373576064",
"telephone_number": "931-273-5503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBBS",
"first_name": "BETH",
"middle_name": "EUDORA LAXSON",
"name_prefix": "Ms.",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-19",
"last_updated": "2010-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "TN",
"license": "00075884",
"primary": true
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "TN",
"license": "00075884",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "TN",
"license": "00075884",
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "TN",
"license": "00075884",
"primary": false
},
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "TN",
"license": "00075884",
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "TN",
"license": "00075884",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "TN",
"license": "00075884",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "TN",
"license": "00075884",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "TN",
"license": "00075884",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morrison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.