Active NPI
Melissa S Grimm, RN, CNS, BC
- Adult Health Clinical Nurse Specialist
- Akron, OH
National Provider Identifier
1770693632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- APRN.CNS.08535
- Practice address
- 444 N Main St
Akron, OH 44310-3110 - Phone
- (330) 379-9599
- NPI assigned
- Aug 30, 2006
- Last updated
- Jun 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | RN 211730 | OH | |
| Adult Health Clinical Nurse Specialist | 364SA2200X | APRN.CNS.08535 | OH | Primary |
Addresses
Primary practice location
444 N Main St
Akron, OH 44310-3110
Mailing address
6111 Wiclif St NE
Canton, OH 44721-3648
Phone (330) 327-1056
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)
- Enrolled
- Credentials
- Certified Nurse Specialist, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNS.08535 | OH | MD | Adult Health Clinical Nurse Specialist |
| RN 211730 | OH | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ek Norch Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- North Canton, OH
- NPI 1770688053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1770693632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6111 WICLIF ST NE",
"city": "CANTON",
"state": "OH",
"postal_code": "447213648",
"telephone_number": "330-327-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 N MAIN ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443103110",
"telephone_number": "330-379-9599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMM",
"first_name": "MELISSA",
"middle_name": "S",
"credential": "RN, CNS, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "OH",
"license": "RN 211730",
"primary": false
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "OH",
"license": "APRN.CNS.08535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.