Individual provider Active NPI

Amy Claire Grisham, MS, RD, LD

  • Registered Dietitian
  • Birmingham, AL
National Provider Identifier
1649642760
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2446 Issued in AL
Practice address
2807 Greystone Commercial Blvd Ste 36
Birmingham, AL 35242-9601
Phone
(205) 552-0417
NPI assigned
Oct 28, 2015
Last updated
Oct 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2446 AL Primary

Addresses

Primary practice location

2807 Greystone Commercial Blvd Ste 36
Birmingham, AL 35242-9601

Mailing address

801 Montclair Rd Apt 4416
Birmingham, AL 35213-2035
Phone (918) 914-3300

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1649642760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MONTCLAIR RD APT 4416",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352132035",
            "telephone_number": "918-914-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 GREYSTONE COMMERCIAL BLVD STE 36",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352429601",
            "telephone_number": "205-552-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISHAM",
        "first_name": "AMY",
        "middle_name": "CLAIRE",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "2446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.