John L. Groeneveld, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A107375 Issued in IA

Practice address

1601 NW 114TH St
Ste 347
Des Moines, IA 50325-7046

Phone

(515) 224-1777

Fax

(515) 225-6750

NPI assigned

Jan 20, 2015

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1508255134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 NW 114TH ST",
            "address_2": "STE 347",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503257046",
            "telephone_number": "515-224-1777",
            "fax_number": "515-225-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW 114TH ST",
            "address_2": "STE 347",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503257046",
            "telephone_number": "515-224-1777",
            "fax_number": "515-225-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROENEVELD",
        "first_name": "JOHN",
        "middle_name": "L.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A107375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn M Griner
• Jody Renae Gritters, RN
• Amanda Grittmann
• Kelli Grochala, CADC
• Amy Marie Groen, D.O.
• Bethany Grogg, PA-C
• Jennifer A Groos, MD
• Lynette Grooters, LISW
• Mary Elizabeth Gross, B.S., PHARM.D.
• Molly Elizabeth Gross, M.D.

• All providers in Des Moines, IA
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.