Kelly Marie Grimes, RN

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

658922 Issued in TX

Practice address

10070 Wheat Ridge Dr
Frisco, TX 75034-4719

Phone

(469) 585-1649

Fax

(468) 287-2132

NPI assigned

Jan 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Marie Renzi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1629129051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10070 WHEAT RIDGE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344719",
            "telephone_number": "469-585-1649",
            "fax_number": "468-287-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10070 WHEAT RIDGE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344719",
            "telephone_number": "469-585-1649",
            "fax_number": "468-287-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "658922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "RENZI",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tatyanny Nicky Alves Griffiths
• Lucy D Griggs, RN
• Maricela Grimaldo
• Abby Renee Grimes
• Jessica Grimes
• Rachel Grinnell
• Tiffany Lynn Grizzly, LPC
• Melanie Groff, PHARMD, RPH
• Gwenevere Grogan
• Shenique Groomes

• Registered Nurse First Assistant in Frisco, TX
• Providers in Frisco, TX by specialty
• Registered Nurse First Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.