ANNA KATHLEEN GRIMM NP NPI 1033151139

NPI Information

NPI: 1033151139
Provider Name: ANNA KATHLEEN GRIMM, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
3181 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239
Phone: (503) 494-1303
Get Directions

Anna Kathleen Grimm, NP is an acute care nurse practitioner in Portland, OR. Anna Kathleen Grimm, NP NPI is 1033151139. 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:

3181 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239-011
Phone: (503) 494-1303
Fax: (503) 346-8021

The enumeration date for this NPI number is 6/12/2006 and was last updated on 6/21/2016.

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	33115	WEST VIRGINIA	No
2	363LF0000X	Nurse Practitioner	Family	COA.03700-NP	OHIO	No
3	363LA2100X	Nurse Practitioner	Acute Care	COA.03700-NP	OHIO	No
4	363LF0000X	Nurse Practitioner	Family	201501120NP-PP	OREGON	No
5	363LA2100X	Nurse Practitioner	Acute Care	201501103NP-PP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H104060	MEDICARE PIN	OHIO
2	3810001991	MEDICAID	WEST VIRGINIA
3	S51108	MEDICARE UPIN	WEST VIRGINIA
4	0051782	MEDICAID	OHIO
5	1067391	OTHER	WEST VIRGINIA	WV WORK COMP
6	H104061	MEDICARE PIN	OHIO

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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