RYAN MATISSE GRIMES NP NPI 1962867861

NPI Information

NPI: 1962867861
Provider Name: RYAN MATISSE GRIMES, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
2608 E 7TH ST
STE B
CHARLOTTE, NC
ZIP 28204
Phone: (704) 403-2626
Get Directions

Ryan Matisse Grimes, NP is a pediatrics nurse practitioner in Charlotte, NC. Ryan Matisse Grimes, NP NPI is 1962867861. 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:

2608 E 7TH ST
STE B
CHARLOTTE, NC
ZIP 28204-375
Phone: (704) 403-2626

The enumeration date for this NPI number is 12/18/2015 and was last updated on 12/18/2023.

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	363L00000X	Nurse Practitioner		5009741	NORTH CAROLINA	No
2	363LP2300X	Nurse Practitioner	Primary Care	5009741	NORTH CAROLINA	No
3	363LP0200X	Nurse Practitioner	Pediatrics	5009741	NORTH CAROLINA	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »