Active NPI
Kay Allyson Grosvenor, NP
- Women's Health Nurse Practitioner
- Hayward, CA
National Provider Identifier
1275682734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- NP16866
- Practice address
- 22455 Maple CT
Suite 304
Hayward, CA 94541-4031 - Phone
- (510) 690-9861
- Fax
- (888) 300-9205
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | NP16866 | CA | Primary |
Addresses
Primary practice location
22455 Maple CT
Suite 304
Hayward, CA 94541-4031
Mailing address
22455 Maple CT
Suite 304
Hayward, CA 94541-4031
Phone (510) 690-9861
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16866 | CA | MD | Speech-Language Pathologist |
| NP16866 | CA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Innovations, LP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Infusion Therapy Clinic/Center
- Hayward, CA
- NPI 1831495050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307404800000",
"number": "1275682734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22455 MAPLE CT",
"address_2": "SUITE 304",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945414031",
"telephone_number": "510-690-9861",
"fax_number": "888-300-9205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22455 MAPLE CT",
"address_2": "SUITE 304",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945414031",
"telephone_number": "510-690-9861",
"fax_number": "888-300-9205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSVENOR",
"first_name": "KAY",
"middle_name": "ALLYSON",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "NP16866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.