Individual provider Active NPI

Breanna Marie Grund

  • Hearing Instrument Specialist
  • Olivia, MN
National Provider Identifier
1316599418
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2859 Issued in MN
Practice address
600 E Park Ave Ste 2
Olivia, MN 56277-1370
Phone
(320) 523-3435
Fax
(320) 323-4374
NPI assigned
Jul 10, 2019
Last updated
Jul 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2859 MN Primary

Addresses

Primary practice location

600 E Park Ave Ste 2
Olivia, MN 56277-1370

Mailing address

600 E Park Ave Ste 2
Olivia, MN 56277-1370
Phone (320) 523-3435

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TC Audiology LLC PastSince Jul 1, 2014 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1316599418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E PARK AVE STE 2",
            "city": "OLIVIA",
            "state": "MN",
            "postal_code": "562771370",
            "telephone_number": "320-523-3435",
            "fax_number": "320-323-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E PARK AVE STE 2",
            "city": "OLIVIA",
            "state": "MN",
            "postal_code": "562771370",
            "telephone_number": "320-523-3435",
            "fax_number": "320-323-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUND",
        "first_name": "BREANNA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MN",
            "license": "2859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olivia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.