Beverly Gruenzner, ATC, ATR

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2715 Issued in MN

Practice address

135 Myers Fieldhouse
Minnesota State University Mankato
Mankato, MN 56001-6171

Phone

(507) 469-9075

NPI assigned

Jan 27, 2016

Sex

Female

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)

Not enrolled

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1649637190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MYERS FIELDHOUSE",
            "address_2": "MINNESOTA STATE UNIVERSITY MANKATO",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016171",
            "telephone_number": "507-469-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MYERS FIELDHOUSE",
            "address_2": "MINNESOTA STATE UNIVERSITY MANKATO",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016171",
            "telephone_number": "507-469-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENZNER",
        "first_name": "BEVERLY",
        "credential": "ATC, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "2715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Nicole Groskopf, PA-C
• Murphy Grotewold
• Rachel R Grubish
• Madisyn Grudem-Smith
• Rebecca J Gruenes
• Lynae Grunzke, RN
• Emilee Jeanne Gruse, PAC, ATC, LAT
• Iris Athenea Guerrero
• Maria Jesus Guerrero
• Tessa Guffey

• Athletic Trainer in Mankato, MN
• Providers in Mankato, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.