Individual provider Active NPI

Jamie Marie Grills, RN

  • Case Management Registered Nurse
  • Duluth, MN
National Provider Identifier
1962862375
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
R138866-6 Issued in MN
Practice address
4815 Burning Tree Rd
Duluth, MN 55811-3800
Phone
(218) 733-0707
Fax
(218) 733-0717
NPI assigned
Feb 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X R138866-6 MN Primary

Addresses

Primary practice location

4815 Burning Tree Rd
Duluth, MN 55811-3800

Mailing address

4815 Burning Tree Rd
Duluth, MN 55811-3800
Phone (218) 733-0707

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R138866-6MNMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1962862375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 BURNING TREE RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558113800",
            "telephone_number": "218-733-0707",
            "fax_number": "218-733-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 BURNING TREE RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558113800",
            "telephone_number": "218-733-0707",
            "fax_number": "218-733-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILLS",
        "first_name": "JAMIE",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MN",
            "license": "R138866-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.