Active NPI
Jordan Gronback, RN
- Registered Nurse
- Kansas City, KS
National Provider Identifier
1053208736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 13-165626-042
- Practice address
- 4000 Cambridge St
Kansas City, KS 66160-8501 - Phone
- (913) 588-1227
- NPI assigned
- Jun 23, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 13-165626-042 | KS | Primary |
Addresses
Primary practice location
4000 Cambridge St
Kansas City, KS 66160-8501
Mailing address
8650 Elmridge St Apt 11102
Lenexa, KS 66219-7103
Phone (860) 560-3821
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-165626-042 | KS | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1053208736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8650 ELMRIDGE ST APT 11102",
"city": "LENEXA",
"state": "KS",
"postal_code": "662197103",
"telephone_number": "860-560-3821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 CAMBRIDGE ST",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608501",
"telephone_number": "913-588-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRONBACK",
"first_name": "JORDAN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-23",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "13-165626-042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.