Individual provider Active NPI

Kimberly Ann Grigaliunas, RC

  • Counselor
  • Coupeville, WA
National Provider Identifier
1609008077
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
RC60103606 Issued in WA
Practice address
105 NW First Street
Coupeville, WA 98239-0000
Phone
(360) 678-5555
Fax
(360) 678-3636
NPI assigned
Aug 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X RC60103606 WA Primary

Addresses

Primary practice location

105 NW First Street
Coupeville, WA 98239-0000

Mailing address

105 NW 1St Steet
PO Box 160
Coupeville, WA 98239-0000
Phone (360) 678-5555

Other names 1

  • Miss Kimberly Ann Bunten Former name

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
RC60103606WAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1609008077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NW 1ST STEET",
            "address_2": "PO BOX 160",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982390000",
            "telephone_number": "360-678-5555",
            "fax_number": "360-678-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NW FIRST STREET",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982390000",
            "telephone_number": "360-678-5555",
            "fax_number": "360-678-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGALIUNAS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC60103606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BUNTEN",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coupeville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.