Kelli Grunstra, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

R229222 Issued in MD

Practice address

601 N Caroline St
Baltimore, MD 21287-0006

Phone

(443) 927-2906

NPI assigned

Jun 6, 2022

Last updated

Jun 6, 2022By the provider in NPPES

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1033848254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N CAROLINE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N CAROLINE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870006",
            "telephone_number": "443-927-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNSTRA",
        "first_name": "KELLI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MD",
            "license": "R229222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Lawson Grumbine, MD
• Jason Grunder
• Katherine Grundmann
• Joel T Grunhut, MD
• Tamara C. Grunitzky, D.P.T.
• Judith E Grunwald, SLP
• Andrea Eve Grushka, LMSW
• Aurora Grutman
• Elizabeth Rachel Gruwell
• Anton Gryaznov, MD, PHD

• Diabetes Educator Registered Nurse in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Diabetes Educator Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.