Kathleen Ellen Grzybowski, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

955805 Issued in TX

Practice address

11212 Highway 151
San Antonio, TX 78251-4498

Phone

(405) 708-8049

NPI assigned

Mar 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elite Surgical Staffing, PLLC

  • Registered Nurse
  • San Antonio, TX
  • NPI 1861141582
  NPD Authorized official

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1013667716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14431 PALOMINO PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782544416",
            "telephone_number": "405-708-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 HIGHWAY 151",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514498",
            "telephone_number": "405-708-8049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 Treeline Park",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782092042",
            "country_code": "US",
            "telephone_number": "405-708-8049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRZYBOWSKI",
        "first_name": "KATHLEEN",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "955805",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "955805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gruner Lowe Therapy
• Crystal Dawn Grunewald Dispain
• Dawnelle Nicole Grunewald, RN
• Avie Avshalom Grunspan, MD
• Kassondra Suzanne Grzankowski, M.D.
• Gsgnm, PLLC
• David Gu, DMD
• Milana Andrea Guadagno, DMD
• Guadalupe County Hospital Board (Parklane West Healthcare Center)
• Guadalupe County Hospital Board (Hunters Pond Rehabilitation and Healthcare)

• Registered Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.