IndividualActive
Douglas Grimes, CNA
NPI 1104972108 · Student in an Organized Health Care Education/Training Program · Crestview, FL
Provider details
- NPI number
- 1104972108
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- CNA
- Sex
- Male
- Sole proprietor
- No
- License
- CNA 8761 (FL)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense CNA 8761 (FL)
Student, Health Care
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
138 Salvadore Dr
Crestview, FL 32536-1802
Phone: (850) 682-2433
Street-level locationGet directions
Mailing address
138 Salvadore Dr
Crestview, FL 32536-1802
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.