Sonya Phillips Grisham, MS, RD, LD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

723162 Issued in AL

Practice address

8950 Dr Martin Luther King Jr St N
Ste 101
St Petersburg, FL 33702-3001

Phone

(727) 520-0800

Fax

(727) 520-0313

NPI assigned

Jan 17, 2007

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Baylife Physical Therapy & Rehabilitation Inc

  • Physical Therapist
  • St Petersburg, FL
  • NPI 1760401434
  NPD (past)
• Baylife Physical Therapy & Rehabilitation, Inc.

  • Specialist
  • Seminole, FL
  • NPI 1356747315
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1942352463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 DR MARTIN LUTHER KING JR ST N",
            "address_2": "STE 101",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023001",
            "telephone_number": "727-520-0800",
            "fax_number": "727-520-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 DR MARTIN LUTHER KING JR ST N",
            "address_2": "STE 101",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023001",
            "telephone_number": "727-520-0800",
            "fax_number": "727-520-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISHAM",
        "first_name": "SONYA",
        "middle_name": "PHILLIPS",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "723162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha L Grimmage, APRN
• Maydel Grinan, APRN
• Jennifer E Grinder
• Anna King Grindy, M.D.
• Kimberly Michelle Griner, CNM
• Alyssa Taryn Grissom, M.ED.
• Sophia Carina Grodotzke, LCSW
• Kirsten Grodzki, NCC, LMHC
• Stephen Henry Groff, M.D.
• Kelly Grogan, M.D.

• Registered Dietitian in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.