Kimberly G Thiry, F-NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

6335-33 Issued in WI

Practice address

1118 S Neenah Ave
Sturgeon Bay, WI 54235

Phone

(920) 496-4700

NPI assigned

Apr 29, 2015

Last updated

Oct 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly G Grusczynski Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

State licenses

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1417334475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19070",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543079070",
            "telephone_number": "920-496-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 S NEENAH AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "54235",
            "telephone_number": "920-496-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIRY",
        "first_name": "KIMBERLY",
        "middle_name": "G",
        "credential": "F-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "6335-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "GRUSCZYNSKI",
            "middle_name": "G",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Taylor
• Nicole Temme, DDS
• Diane Thaler, M.D.
• The Cornerstone of Sturgeon Bay (The Gathering of Door County)
• Laurie J. Thiede, PT-A
• Seth James Thomas, PHARM.D.
• Jeffrey Thompson, MD
• Ashley Thornton
• Drake Patrick Todd, DO
• Daniel J. Tomaszewski, M.D.

• Nurse Practitioner in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.