Matthew Grindstaff, NNP-BC

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

1060421 Issued in TX

Practice address

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719

Phone

(505) 272-5551

Fax

(505) 272-6845

NPI assigned

Feb 20, 2019

Last updated

May 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgrindstaff294346@direct.phhs.org

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

• Dallas County Hospital District

  dba Physician and Other Providers

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1649278995
  Medicare reassignment
• Dallas County Hospital District

  dba Vickery Women's Health Center

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1538316120
  NPD
• Dallas County Hospital District

  dba CV Roman Women's Health Center

  • Women's Health Nurse Practitioner
  • Dallas, TX
  • NPI 1558035188

  Neonatal

  NPD
• Dallas County Hospital District

  dba Nurse Practitioner and Other Providers

  • Women's Health Nurse Practitioner
  • Dallas, TX
  • NPI 1831198506

  Neonatal

  NPD

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1619434164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 BRADBURY DR SE STE 2222",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064375",
            "telephone_number": "505-414-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 LOMAS BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062719",
            "telephone_number": "505-272-5551",
            "fax_number": "505-272-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINDSTAFF",
        "first_name": "MATTHEW",
        "credential": "NNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-20",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "TX",
            "license": "1060421",
            "primary": true
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NM",
            "license": "54906",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie E Grijalva, CSW
• Lisa Grimaldi, PA-C
• Erin Armenda Grimmitt, AU.D.
• Jean-Marc Daniel Grindatto
• Jessica Kaitlyn Grindell, MOT
• Reina Grine-Gallardo
• Archie Grine
• Lisa E Grinnell, MA, LPCC
• Amanda Violet Grippen Goddard, D.O.
• Ashley Grisdale

• Neonatal Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Neonatal Nurse Practitioner in New Mexico

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