William R Grimes, ARNP
Individual provider Active NPI Family Nurse Practitioner · Owingsville, KY
NPI 1962590364 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962590364
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 630P (KY)
- Practice address
- 632 Slate Avenue
Owingsville, KY 40360 - Phone
- (606) 674-6386
- Fax
- (606) 674-3096
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 630 | KY | MD | Mental Health Counselor |
| 630P | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Claire Regional Medical Center | Past | Accepting new patients | |
| St. Claire Medical Center, Inc | Past | Accepting new patients |
Interoperability endpoints
- william.grimes.1@17066.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 630P | KY | Yes |
Addresses
Primary practice location
632 Slate Avenue
Owingsville, KY 40360
Mailing address
PO Box 1120
Owingsville, KY 40360-1120
Phone (606) 674-6386
Other providers in Owingsville, KY
- Gateway District Health Department
- Gateway District Health Department
- Gateway Regional Health Systems Inc
- Marsha Goldy
- Christina Dawn Griffith
- Larry Eugene Hamlin
- Handsbath
- Natasha Harvey-Allen
- Melodie Tipton Hawkins
- Madison Howard
All providers in Owingsville, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.