Kathleen Elizabeth Gruszka, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN676565 Issued in PA

Practice address

8101 Clayton Rd
Clayton, MO 63117-1103

Phone

(314) 726-2124

NPI assigned

Jan 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Kathleen Elizabeth McMahon Former name

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": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1194314534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WHISKEY SPRINGS RD",
            "city": "BOILING SPRINGS",
            "state": "PA",
            "postal_code": "170079519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 CLAYTON RD",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631171103",
            "telephone_number": "314-726-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUSZKA",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041488461",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2019019049",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN676565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "MCMAHON",
            "middle_name": "ELIZABETH",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Green, MS, LPC, NCC
• Rebekah Green
• Suzanne Greenwald, LCSW MSW
• Suzanne Elizabeth Gregoire, PH.D., D.M.D.
• Casey Griebel, NP-C
• Connor Lee Gunnarson, MED
• Andrea Gutierrez-Glik, LMSW
• Robert Dean Hackleman, LCSW
• Jennifer Haefner, PTA
• Leigh Hanna, LMSW

• Registered Nurse in Clayton, MO
• Providers in Clayton, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.