Active NPI
Latosha Grimes
- Nurse's Aide
- Spanaway, WA
National Provider Identifier
1851170070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 17920 16TH Avenue CT E
Spanaway, WA 98387-1939 - Phone
- (253) 377-7271
- NPI assigned
- Sep 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Primary |
Addresses
Primary practice location
17920 16TH Avenue CT E
Spanaway, WA 98387-1939
Mailing address
17920 16TH Avenue CT E
Spanaway, WA 98387-1939
Phone (253) 377-7271
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1851170070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17920 16TH AVENUE CT E",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983871939",
"telephone_number": "253-377-7271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17920 16TH AVENUE CT E",
"city": "SPANAWAY",
"state": "WA",
"postal_code": "983871939",
"telephone_number": "253-377-7271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMES",
"first_name": "LATOSHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-26",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spanaway, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.