Joseph Grimes, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

108130 Issued in AK

Practice address

132 Foran Cir
Fairbanks, AK 99712-2404

Phone

(907) 750-2587

NPI assigned

Feb 11, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joseph.grimes@direct.porterheart.nextgenshare.com
• Direct secure messaging: joseph.grimes.1@21088.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fairbanks Memorial Cardiology Center, LLC

  • Multi-Specialty Clinic/Center
  • Fairbanks, AK
  • NPI 1386193472
  Medicare reassignment NPD
• Horizon Medical, Inc

  dba Canyon Clinic at Denali

  • Urgent Care Clinic/Center
  • Denali Park, AK
  • NPI 1770724510
  Medicare reassignment
• Joseph Daniel Grimes

  • Primary Care Clinic/Center
  • Fairbanks, AK
  • NPI 1043678758
  NPD (past) Authorized official
• Fairbanks Memorial Cardiology Center

  • Cardiovascular Disease Physician
  • Fairbanks, AK
  • NPI 1881723807
  NPD (past)

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1811356330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 FORAN CIR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997122404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 FORAN CIR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997122404",
            "telephone_number": "907-750-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "JOSEPH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "108130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Racia Greife
• Lindsey Grennan, M.ED
• James Griffin
• Nancy Griffith, LMT
• Gretchen Elizabeth Grimaldos, CRNA
• Sierra Grimes
• Laurey Gronemeier, M.ED., LPC, NCC, MAC
• McKenzie Grooms
• Charlotte E Groth, OTR/L
• Teresa Grotkopp, L.AC.

• Family Nurse Practitioner in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.