Individual provider Active NPI

Grace E. Conchas, AUD

  • Audiologist
  • Bloomington, MN
National Provider Identifier
1093390130
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
10315 Issued in MN
Practice address
9241 Oakland Ave S
Bloomington, MN 55420-3828
Phone
(701) 308-0869
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 10315 MN Primary

Addresses

Primary practice location

9241 Oakland Ave S
Bloomington, MN 55420-3828

Mailing address

9241 Oakland Ave S
Bloomington, MN 55420-3828
Phone (701) 308-0869

Other names 1

  • Grace Ellen Buchholz Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1093390130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9241 OAKLAND AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554203828",
            "telephone_number": "701-308-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9241 OAKLAND AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554203828",
            "telephone_number": "701-308-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCHAS",
        "first_name": "GRACE",
        "middle_name": "E.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "10315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "BUCHHOLZ",
            "middle_name": "ELLEN",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.