Individual provider Active NPI

Brandie Grinstead, LISW

  • Social Worker
  • Burlington, IA
National Provider Identifier
1689684896
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
06627 Issued in IA
Practice address
610 N 4TH St Ste 110
Burlington, IA 52601-5055
Phone
(319) 754-8035
Fax
(319) 754-9213
NPI assigned
Aug 9, 2006
Last updated
Sep 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 06627 IA Primary

Addresses

Primary practice location

610 N 4TH St Ste 110
Burlington, IA 52601-5055

Mailing address

610 N 4TH St Ste 110
Burlington, IA 52601-5055
Phone (319) 754-8035

Other practice location 1

407 N 4th St
Burlington, IA 52601-5229
Phone (319) 754-4618

Other identifiers 1

IdentifierTypeStateIssuer
107314000OtherIAIOWA PLAN

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
06627IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimae Lifeservices, Inc, Past Accepting new patients
Grinstead, Pierce & Associates, LLC Social Worker PastSince Nov 7, 2015 Accepting new patients
Rescare, Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1689684896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N 4TH ST STE 110",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526015055",
            "telephone_number": "319-754-8035",
            "fax_number": "319-754-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N 4TH ST STE 110",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526015055",
            "telephone_number": "319-754-8035",
            "fax_number": "319-754-9213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "IA",
            "postal_code": "526015229",
            "country_code": "US",
            "telephone_number": "319-754-4618",
            "fax_number": "319-754-4193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRINSTEAD",
        "first_name": "BRANDIE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "06627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA PLAN",
            "identifier": "107314000",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.