MR. GEROME ALONZO GRIVAS NP NPI 1497883607

NPI Information

NPI: 1497883607
Provider Name: MR. GEROME ALONZO GRIVAS, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
3175 LENOX PARK BLVD STE 412
MEMPHIS, TN
ZIP 38115
Phone: (901) 273-2369
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MR. Gerome Alonzo Grivas, NP is a psychiatric/mental health nurse practitioner in Memphis, TN with 19 years of experience. MR. Gerome Alonzo Grivas, NP NPI is 1497883607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3175 LENOX PARK BLVD STE 412
MEMPHIS, TN
ZIP 38115-256
Phone: (901) 273-2369

The NPI 1497883607 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 3/1/2007 and was last updated on 12/30/2021.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	17743	CALIFORNIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	12129	TENNESSEE	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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