Pat Grimes, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0206008999 Issued in VA

Legal business name

PAT GRIMES, INC.

Practice address

2303 Jefferson Davis Hwy
Fredericksburg, VA 22401-2115

Phone

(540) 371-9181

Fax

(540) 899-6461

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kirklyn Stratton Humphreys

Title

President

Phone

(540) 371-9181

Specialties & licenses 1

Addresses

Other identifiers 4

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Home Care Alliance of Virginia Inc

  • Durable Medical Equipment & Medical Supplies
  • Halifax, VA
  • NPI 1235175795

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Home Care Alliance of Virginia Inc

  • Durable Medical Equipment & Medical Supplies
  • Halifax, VA
  • NPI 1235175795

  Member Of

  NPD member

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1598797342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224040786",
            "telephone_number": "540-371-9181",
            "fax_number": "540-899-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 JEFFERSON DAVIS HWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224012115",
            "telephone_number": "540-371-9181",
            "fax_number": "540-899-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAT GRIMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "KIRKLYN",
        "authorized_official_middle_name": "STRATTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-371-9181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0206008999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009134166",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "0474837000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "027534",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEPT. OF LABOR",
            "identifier": "149352100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isis V Partida Gomez, FNP-C
• Laura Paschetag, RBT
• Emma Passera
• Passport Health Holdings, LLC (Passport Health)
• Roger James Pasternak, PH.D.
• Bhupesh J Patel, PHARMACIST
• Hemal Bipin Patel, BDS, MDS
• Janakiben Patel
• Keyannah Patel
• Neelum H Patel, DPM

• Durable Medical Equipment & Medical Supplies in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.