Karen B Grunewald, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F303176 Issued in NY

Practice address

210 Cornelia St
Suite 101
Plattsburgh, NY 12901-2318

Phone

(518) 562-7990

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Champlain Valley Physicians Hospital Medical Center

  • Internal Medicine Physician
  • Plattsburgh, NY
  • NPI 1124189782
  Medicare reassignment
• Champlain Valley Cardiology, PC

  • Cardiovascular Disease Physician
  • Plattsburgh, NY
  • NPI 1407809981
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1306899257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 HAWKES WAY",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464425",
            "telephone_number": "802-578-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CORNELIA ST",
            "address_2": "SUITE 101",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012318",
            "telephone_number": "518-562-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNEWALD",
        "first_name": "KAREN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VT",
            "license": "101-0029403",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010808",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Newton W. Greiner Sr., D.MIN DOCTOR OF MINI
• Alexis Poore Grennan
• John P Griffin, MD
• Carlee Griggs, LPN
• Diego J Grinberg-Funes, M.D.
• Ivanna Stepanivna Grynyk, OD
• Zachary Terry Guay
• Alison Marie Guerin, CCC-SLP
• Alison J. Guile, MD
• Lauren Gundrum

• Adult Health Nurse Practitioner in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.