Audrey Grimm, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61505608 Issued in WA

Practice address

10305 E Montgomery Dr
Spokane Valley, WA 99206-4220

Phone

(509) 418-2108

Fax

(509) 315-9386

NPI assigned

Apr 18, 2023

Last updated

Dec 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Purpose Psychiatric Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenacres, WA
  • NPI 1962245647
  NPD Authorized official
• Sequoia Detox Centers LLC

  • Substance Abuse Rehabilitation Facility
  • Spokane Valley, WA
  • NPI 1487289567
  NPD Authorized official
• Ember North Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
  • NPI 1225946114
  Authorized official Same address or phone

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1861188294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 S KAYLA CT",
            "city": "GREENACRES",
            "state": "WA",
            "postal_code": "990160017",
            "telephone_number": "208-797-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 E MONTGOMERY DR",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064220",
            "telephone_number": "509-418-2108",
            "fax_number": "509-315-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "AUDREY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61505608",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN60962877",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Griffin, B.A.
• Isabelle Griffin, LMT
• Morgan Renee Griffith
• Shannon Rae Griffiths
• Jason Grimes, CDP
• Jessica Leann Grimmett, LMP
• Isaac Ruben Grindeland, MD
• Danza Griner
• Grins and Giggles Family Dentistry, LLC.
• Jessica Grogan, ARNP

• Psychiatric/Mental Health Nurse Practitioner in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.