Active NPI
Melissa Danielle Grim, LICENSED TATTOO ARTI
- Specialist
- Washington, MO
National Provider Identifier
1891662870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2020008798
- Practice address
- 209 W 2ND St Ste 110
Washington, MO 63090-2147 - Phone
- (314) 650-9272
- NPI assigned
- Oct 22, 2025
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2020008798 | MO | Primary |
Addresses
Primary practice location
209 W 2ND St Ste 110
Washington, MO 63090-2147
Mailing address
225 High St
Washington, MO 63090-1525
Phone (314) 650-9272
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020008798 | MO | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1891662870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 HIGH ST",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630901525",
"telephone_number": "314-650-9272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 W 2ND ST STE 110",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630902147",
"telephone_number": "314-650-9272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIM",
"first_name": "MELISSA",
"middle_name": "DANIELLE",
"credential": "LICENSED TATTOO ARTI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-22",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "2020008798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.