CASSANDRA GRIMES NP NPI 1235530064

NPI Information

NPI: 1235530064
Provider Name: CASSANDRA GRIMES, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4660 S HAGADORN RD STE 405
EAST LANSING, MI
ZIP 48823
Phone: (517) 884-8600
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Cassandra Grimes, NP is a family nurse practitioner in East Lansing, MI. Cassandra Grimes, NP NPI is 1235530064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4660 S HAGADORN RD STE 405
EAST LANSING, MI
ZIP 48823-819
Phone: (517) 884-8600
Fax: (517) 884-8650

The NPI 1235530064 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/11/2014 and was last updated on 6/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4704226428	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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