Alexsandra Grunden

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61174540 Issued in WA

Practice address

723 SW 10TH St
Renton, WA 98057-5223

Phone

(206) 461-4880

NPI assigned

Mar 21, 2019

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1164982583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 SW 10TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575223",
            "telephone_number": "206-461-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 SW 10TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575223",
            "telephone_number": "206-461-4880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10200 NE 132nd St",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980342831",
            "country_code": "US",
            "telephone_number": "425-821-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUNDEN",
        "first_name": "ALEXSANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60668359",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61174540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Griesse, OTR/L
• Chelsea Lauren Griffin, SLP
• Shawn Edward Griffin, LMT
• Rachael L Grothen, DIETICIAN
• April Grover, MSCP, LMHC
• Andrea E Gruszecki, ND
• Connie S Guan, CHIROPRACTOR
• Guarding Care LLC
• Daniela Guadalupe Guerrero
• Amy A Guillory, LMSW

• Psychiatric/Mental Health Nurse Practitioner in Renton, WA
• Providers in Renton, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

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

Verify at the official NPI Registry.