Active NPI
Angela D. Grimmett, ARNP
- Family Nurse Practitioner
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 70265
- Practice address
- 11220 N Rockwell Ave
Oklahoma City, OK 73162-2725 - Phone
- (405) 632-6688
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 70265 | OK | Primary |
Addresses
Primary practice location
11220 N Rockwell Ave
Oklahoma City, OK 73162-2725
Mailing address
3000 N Grand Blvd
Oklahoma City, OK 73107-1818
Phone (405) 632-6688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200129840A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 NW 32ND St
Newcastle, OK 73065-6334
Phone (405) 387-9325
10701 N Rockwell Ave
Oklahoma City, OK 73162-4537
Phone (405) 470-1500
11601 S Western Ave
Oklahoma City, OK 73170-5823
Phone (405) 691-5208
46 E 15TH St
Edmond, OK 73013-4301
Phone (405) 844-5210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tulsa Emergency Medical Center Inc | Current | Accepting new patients | |
| Medical Resource Management, LLC | Current | Accepting new patients | |
| Mercy Oklahoma Ambulatory Services LLC | Current | Accepting new patients | |
| Revive Health of Oklahoma LLC | Past | Accepting new patients | |
| Integrative Medical Solutions PLLC | Past | Accepting new patients |
Locations
1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637
12220 N MacArthur Blvd
Ste D
Oklahoma City, OK 73162
Phone (405) 437-1100
10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500
2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520
Interoperability endpoints
- https://api.platform.athenahealth.com/16305/brand/1/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- angela.grimmettfnp.p8@direct.nextcare.nextgenshare.com
- angela.grimmettfnp.p10@direct.nextcare.nextgenshare.com
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1104056365
-
- Urgent Care Clinic/Center
- Moore, OK
- NPI 1922509173
-
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1063479087
-
- Internal Medicine Physician
- Edmond, OK
- NPI 1144471129
-
- General Practice Physician
- Oklahoma City, OK
- NPI 1740842327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1861509838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 N GRAND BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731071818",
"telephone_number": "405-632-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11220 N ROCKWELL AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731622725",
"telephone_number": "405-632-6688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMMETT",
"first_name": "ANGELA",
"middle_name": "D.",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "70265",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200129840A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.