Nadine Grundstrom, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN 9306882 Issued in FL

Practice address

258 SW Amesbury Ave
Port St Lucie, FL 34953-6964

Phone

(772) 878-5639

NPI assigned

Sep 23, 2012

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1348358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348358400000",
    "number": "1669723219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 SW AMESBURY AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536964",
            "telephone_number": "772-878-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 SW AMESBURY AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536964",
            "telephone_number": "772-878-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNDSTROM",
        "first_name": "NADINE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-23",
        "last_updated": "2012-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN 9306882",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "627176-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shenetta Griffith, RN
• Onvia Y Grimsley, CNA
• Tammy M Grisham, NP-C
• Richard Grossman, BA
• Kristin Hedden Grunbaum, A.R.N.P.
• Matthew John Gudeman, DC
• Evelyn Guerra Garcia
• Miguel Angel Guerra-Ressy, MS
• Barbara Guerrero Asin
• Glory Ivelisse Guerrero, ARNP

• Registered Nurse in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2012; 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.