Jennifer Kay Gronewold, BCBS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2019044365 Issued in MO

Practice address

24 Northport PLZ
Hannibal, MO 63401-2269

Phone

(573) 629-1519

NPI assigned

Dec 18, 2019

Last updated

Dec 18, 2019By the provider in NPPES

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": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1326686478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 N 2250TH AVE",
            "city": "URSA",
            "state": "IL",
            "postal_code": "623762024",
            "telephone_number": "217-779-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 NORTHPORT PLZ",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012269",
            "telephone_number": "573-629-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONEWOLD",
        "first_name": "JENNIFER",
        "middle_name": "KAY",
        "credential": "BCBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2019044365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Greening, LCSW
• Carolyn Kay Greening, CNS
• John Paul Greving, DO
• Torishia Greving, RN, MSN, FNP-C
• Ashley C Griggs, PLPC
• Judith Guest-Caldwell, LPC
• Sohail Gulzar, M.D.
• Lindsey Gunterman, M.S., CCC-SLP
• Joaquin Guzon, MD
• H& M Loving Hands

• Behavior Analyst in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.