MR. DOUGLAS NATHANAEL GRIMES CNA
NPI 1104972108
Student in an Organized Health Care Education/Training Program in Crestview, FL

Q: What is Douglas Grimes's NPI number?

The NPI number for Douglas Grimes is 1104972108. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Q: What is Douglas Grimes's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Grimes was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 25, 2007

138 SALVADORE DR, CRESTVIEW, FL 32536(850) 682-2433 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Douglas Nathanael Grimes Cna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DOUGLAS NATHANAEL GRIMES CNA (NPI 1104972108) is an individual student in an organized health care education/training program in Crestview, Florida, licensed in Florida (CNA 8761) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1104972108

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. DOUGLAS NATHANAEL GRIMESCredential: CNA

Location Address138 SALVADORE DRCrestview, FL 32536-1802

Mailing Address138 Salvadore DrCrestview, FL 32536-1802 · (850) 682-2433

Phone(850) 682-2433

Sole ProprietorNo

Enumeration DateJanuary 25, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104972108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in FL · CNA 8761

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

138 SALVADORE DR, Crestview, FL 32536

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Grimes's NPI number?

The NPI number for Douglas Grimes is 1104972108. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Douglas Grimes located?

Douglas Grimes practices at 138 Salvadore Dr, Crestview, FL 32536. The listed phone number is (850) 682-2433.

What is Douglas Grimes's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Douglas Grimes was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.