Judith L Grimes

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

1706 Stanley Rd
Suite 91
Fort Sam Houston, TX 78234-7648

Phone

(210) 295-7618

Fax

(210) 295-7523

NPI assigned

Nov 4, 2008

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

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": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1841443876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 STANLEY RD",
            "address_2": "SUITE 91",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347648",
            "telephone_number": "210-295-7618",
            "fax_number": "210-295-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 STANLEY RD",
            "address_2": "SUITE 91",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347648",
            "telephone_number": "210-295-7618",
            "fax_number": "210-295-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "JUDITH",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Griffis, PA-C
• Sean Griffiths, DO
• Dennis Joseph Grill, PH.D.
• Cole Ivan Grimes, DO
• Jamie Broome Grimes, MD
• William Grisham, PA-C
• Jonhenry Grizzle, PH.D.
• Angelia C Grona, PA
• Jesse Gronsky, PA-C
• Beverly England Grose, PA-C

• Independent Duty Corpsman in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Independent Duty Corpsman in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.