Individual provider Active NPI

Kate Chavonne Grundy, CNP

  • Family Nurse Practitioner
  • Mashpee, MA
National Provider Identifier
1558067686
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2322005 Issued in MA
Practice address
5 Industrial Dr Ste 100
Mashpee, MA 02649-3473
Phone
(508) 477-4282
NPI assigned
Jan 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2322005 MA Primary
Registered Nurse 163W00000X RN2322005 MA

Addresses

Primary practice location

5 Industrial Dr Ste 100
Mashpee, MA 02649-3473

Mailing address

5 Industrial Dr Ste 100
Mashpee, MA 02649-3473
Phone (508) 477-4282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20230718001965 MA Practitioner - Nurse Practitioner 0244690592 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wiegandt and Associates PCGroup PAC ID 3375777931, 5 clinicians
Hyannis Family Medical Care PCGroup PAC ID 2264566678, 4 clinicians

Practice addresses (Care Compare)

2621 Cranberry Hwy
Wareham, MA 02571-1156
Phone (508) 295-4902

5 Industrial Dr
Suite 100
Mashpee, MA 02649-3465
Phone (508) 477-4282

Hospital & facility affiliations

  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
  • Falmouth Hospital Hospital, Falmouth, MA, CCN 220135
  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Spaulding Rehabilitation Hospital - Cape Cod Inpatient rehabilitation facility, East Sandwich, MA, CCN 223032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mamdouh Riad MD PC CurrentSince Oct 1, 2025 Accepting new patients
Hyannis Family Medical Care P.C. CurrentSince Jun 6, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Wiegandt and Associates PC CurrentSince Oct 1, 2025 Accepting new patients
Total Wellness Centers, LLC Past Accepting new patients

Locations

155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420

51 Main St
Ste 2
Hyannis, MA 02601
Phone (508) 775-3112

100 Independence Dr
Ste 3
Hyannis, MA 02601
Phone (508) 790-4568

68 Camp St
Ste 1
Hyannis, MA 02601
Phone (508) 477-4282

5 Industrial Dr
Ste 100
Mashpee, MA 02649
Phone (508) 477-4282

2621 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-4902

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2967/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1558067686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 INDUSTRIAL DR STE 100",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493473",
            "telephone_number": "508-477-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 INDUSTRIAL DR STE 100",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493473",
            "telephone_number": "508-477-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNDY",
        "first_name": "KATE",
        "middle_name": "CHAVONNE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2322005",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2322005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

Verify at the official NPI Registry.