Kimberly Ann Grundy, APN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

A03184 Issued in AR

Practice address

800 Marshall St # 512-3
Little Rock, AR 72202-3510

Phone

(501) 364-1479

NPI assigned

Jan 29, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1255579124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12A S BERYL RD",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720768708",
            "telephone_number": "501-749-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MARSHALL ST # 512-3",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023510",
            "telephone_number": "501-364-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNDY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AR",
            "license": "A03184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan A Grove
• Pretrescia Marie Grubbs, DNP, ACNP, APRN
• J. Michael Gruenwald, MD FACS
• Jacob Carl Grummer, LMSW - LRSB
• Lisa M Grummer, APN
• Jaclyn Gruver
• Sara Grygus
• Jeffrey Kirk Grynwald Jr., MD
• Guaranteed Expedite Service LLC
• Peggy Kenley Guard, M.D.

• Pediatric Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Pediatric Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.