Individual provider Active NPI

Brianna Michelle Grundhoefer, APRN

  • Family Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1447993605
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11018036 Issued in FL
Practice address
797 N State Road 434
Altamonte Springs, FL 32714-7233
Phone
(407) 862-7272
NPI assigned
Apr 15, 2022
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11018036 FL Primary

Addresses

Primary practice location

797 N State Road 434
Altamonte Springs, FL 32714-7233

Mailing address

171 McLeods Way
Winter Springs, FL 32708-7101
Phone (321) 362-8387

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

State licenses

LicenseStateTypeSpecialty
APRN11018036FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1447993605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MCLEODS WAY",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327087101",
            "telephone_number": "321-362-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 N STATE ROAD 434",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147233",
            "telephone_number": "407-862-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNDHOEFER",
        "first_name": "BRIANNA",
        "middle_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11018036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.