DR. KIM MARIE GRUM LSUDC, CAADC, CRS
NPI 1649271933
Counselor - Addiction (Substance Use Disorder) in Las Vegas, NV

Q: What is Kim Grum's NPI number?

The NPI number for Kim Grum is 1649271933. It was assigned to this individual provider in the NPPES registry on August 9, 2005. The provider is also known as Dr. Kim Marie Abdalla-Digiacomo Dpm.

Q: What is Kim Grum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kim Grum was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 August 09, 2005

2512 GOLDEN SANDS DR, LAS VEGAS, NV 89128(215) 919-1558(215) 491-1750 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kim Marie Grum Lsudc, Caadc, Crs NPPES

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

DR. KIM MARIE GRUM LSUDC, CAADC, CRS (NPI 1649271933) is an individual addiction (substance use disorder) provider in Las Vegas, Nevada, licensed in Utah (13939693) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1649271933

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameDR. KIM MARIE GRUMCredential: LSUDC, CAADC, CRS

Location Address2512 GOLDEN SANDS DRLas Vegas, NV 89128-6801

Mailing Address2512 Golden Sands DrLas Vegas, NV 89128-6801 · (215) 919-1558 · Fax (215) 491-1750

Phone(215) 919-1558

Fax(215) 491-1750

Sole ProprietorYes

Enumeration DateAugust 9, 2005

Last NPPES UpdateJanuary 24, 2025

NPPES CertifiedJanuary 24, 2025

✔ NPI 1649271933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in UT · 13939693

2512 GOLDEN SANDS DR, Las Vegas, NV 89128

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Other Names 1

Former Name (1)Dr. Kim Marie Abdalla-digiacomo Dpm

Other Identifiers 5

Other0284366000PA · Independence Blue Cross

Medicaid07802520PA

Medicaid1649271933UT

Other447982PA · Highmark Blue Shield

Other1015164PA · Keystone Mercy

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 Kim Grum's NPI number?

The NPI number for Kim Grum is 1649271933. It was assigned to this individual provider in the NPPES registry on August 9, 2005. The provider is also known as Dr. Kim Marie Abdalla-Digiacomo Dpm.

Where is Kim Grum located?

Kim Grum practices at 2512 Golden Sands Dr, Las Vegas, NV 89128. The listed phone number is (215) 919-1558.

What is Kim Grum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kim Grum was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.