Susan Ilene Grimmett, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

00774-L Issued in NV

Practice address

6628 Sky Pointe Dr Ste 125
Las Vegas, NV 89131-4076

Phone

(702) 292-4732

NPI assigned

Mar 29, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1811350804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 FINCH FEATHER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891436404",
            "telephone_number": "702-292-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6628 SKY POINTE DR STE 125",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891314076",
            "telephone_number": "702-292-4732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 S Jones Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891463137",
            "country_code": "US",
            "telephone_number": "702-202-0099",
            "fax_number": "702-778-7632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMMETT",
        "first_name": "SUSAN",
        "middle_name": "ILENE",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00774-L",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "00774-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Grimlie, NP
• Erik Grimm, DO
• Jessica Leanne Grimm, APRN
• Karla Yvonne Grimm
• Lina Grimm
• Amber Kay West Grimmettlee
• Liuda Grimont Ramirez
• Gerardo Gialogo Grindulo
• Erin Rose Grine
• Michelle Ye Griner

• Addiction (Substance Use Disorder) Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Addiction (Substance Use Disorder) Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.