Individual provider Active NPI

Deborah A Gronewald, RN, MSN, NP, CDE

  • Adult Health Nurse Practitioner
  • Morristown, TN
National Provider Identifier
1003833591
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN0000005219 Issued in TN
Practice address
751 Spruce St
Morristown, TN 37813-5812
Phone
(423) 581-4618
Fax
(423) 317-9428
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN0000005219 TN Primary

Addresses

Primary practice location

751 Spruce St
Morristown, TN 37813-5812

Mailing address

751 Spruce St
Morristown, TN 37813-5812
Phone (423) 581-4618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APN0000005219TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
W. Robert Gronewald, M.D., P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003833591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 SPRUCE ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378135812",
            "telephone_number": "423-581-4618",
            "fax_number": "423-317-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 SPRUCE ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378135812",
            "telephone_number": "423-581-4618",
            "fax_number": "423-317-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONEWALD",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "RN, MSN, NP, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN0000005219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.