Lynne Alford Grinold, RN-C,IBCLC,RLC,CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

09910249 Issued in FL

Practice address

1250 S 18TH St
Fernandina Beach, FL 32034-1902

Phone

(904) 321-3581

NPI assigned

Jan 9, 2009

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1306083589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15251",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320353105",
            "telephone_number": "904-310-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S 18TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341902",
            "telephone_number": "904-321-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINOLD",
        "first_name": "LYNNE",
        "middle_name": "ALFORD",
        "credential": "RN-C,IBCLC,RLC,CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "FL",
            "license": "RN9280914",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "FL",
            "license": "09910249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lee Gray II, PA-C
• Tez-Mia Kimberly Gray
• Gregory Devon Miller PLLC
• Bianca Gregory, COTA/L
• Pauline Becton Gregory, ED.S, M.S.
• Lu Griz
• Ansley T Grogan, DO
• Carol L Gruber, WHNP
• Gina C Guzman, MD
• H2 Rehabilitation Services of Florida LLC

• Diabetes Educator Registered Nurse in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Diabetes Educator Registered Nurse in Florida

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

Verify at the official NPI Registry.