Kimberly C Grunzinger, MSN, RN, ACNS-BC

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

117782 Issued in MO

Practice address

222 S Woods Mill Rd
Suite 480 N
Chesterfield, MO 63017-3625

Phone

(314) 576-7343

Fax

(314) 542-4270

NPI assigned

Jul 14, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lawrence E. Samuels M.D., Inc.

  • Dermatology Physician
  • Chesterfield, MO
  • NPI 1225179724
  NPD
• Mercy Clinic Dermatology LLC

  • Dermatology Physician
  • Washington, MO
  • NPI 1033470745
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1003129453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD",
            "address_2": "SUITE 480 N",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173625",
            "telephone_number": "314-576-7343",
            "fax_number": "314-542-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD",
            "address_2": "SUITE 480 N",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173625",
            "telephone_number": "314-576-7343",
            "fax_number": "314-542-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNZINGER",
        "first_name": "KIMBERLY",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, ACNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "MO",
            "license": "117782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grogan Chiropractic and Rehabilitation LLC
• Anna Rachel Groom
• Barbara Gross, BCBA
• Judy B Grosz, LCSW
• Alisha L Grote, SLP
• Devon Brooke Guckes, MSED, ATC
• William J Gueck, M.D.
• Gregory F Guenther, R.PH,.
• Tracy Lynn Gummoe, COTA
• Marlee Gunn-Coleman

• All providers in Chesterfield, MO
• Adult Health Clinical Nurse Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.