Kimberly Anne Grugan, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

154282 Issued in NC

Practice address

472 Rankin Dr
Marion, NC 28752-6568

Phone

(828) 652-1400

Fax

(828) 652-7507

NPI assigned

Mar 19, 2007

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: kimgruganfnpc@direct.msj.org

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.

• MH Blue Ridge Medical Center, LLLP

  • Rural Health Clinic/Center
  • Burnsville, NC
  • NPI 1881161347

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1043334667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SPRINGWOOD DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288051643",
            "telephone_number": "828-299-4644",
            "fax_number": "828-652-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 RANKIN DR",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287526568",
            "telephone_number": "828-652-1400",
            "fax_number": "828-652-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUGAN",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201706",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "154282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimgruganfnpc@Direct.msj.org",
            "affiliation": "N",
            "address_1": "472 Rankin Dr",
            "city": "Marion",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287526568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kevin Roland Greenspan, D.C.
• Tisha Wright Griffith
• Katherine A. Grigg, DDS
• Gary Max Grindstaff, D.D.S
• Kourtney Grindstaff, COTA
• Amber Gulley
• Gunnell DDS and Van Oostendorp DDS
• Hair Designer
• James Hamilton, LPC
• Julianna Hamilton, LPC

• Nurse Practitioner in Marion, NC
• Providers in Marion, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.