Jackeline Grimaldo

Primary specialty

Health Information Specialist/TechnologistTaxonomy code 246Y00000X

Practice address

6298 Lockhill Rd Unit 1004
San Antonio, TX 78240-2053

Phone

(210) 279-0875

Fax

(210) 806-7576

NPI assigned

Mar 4, 2021

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

• Jackeline Perez Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1760077358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6298 LOCKHILL RD UNIT 1004",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402053",
            "telephone_number": "210-279-0875",
            "fax_number": "210-806-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6298 LOCKHILL RD UNIT 1004",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402053",
            "telephone_number": "210-279-0875",
            "fax_number": "210-806-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMALDO",
        "first_name": "JACKELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Y00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jackeline@grimaldobillingandcredentialing.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6298 Lockhill Rd Unit 1004",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782402053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACKELINE",
            "last_name": "PEREZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Grigg, MS, OTR/L
• Grigsby Consulting, PLLC
• Michelle Linn Grigsby, PH.D.
• Cristina Eugenia Grijalva, M.D.
• Tylor Grillo, DO
• Jacqueline Grimaldo
• Jessica Grimaldo, PA-C
• Allison Caren Grimes, M.D.
• Hannah Kraemer Grimes, DDS
• Jeffrey Scott Grimes, PHD

• Health Information Specialist/Technologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Health Information Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.