Kelly Aline Grossman, NURSE PRACTITIONER

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

390508 Issued in CA

Practice address

5821 Jameson CT Ste 1
Carmichael, CA 95608

Phone

(916) 864-0411

Fax

(916) 797-9414

NPI assigned

Mar 9, 2006

Last updated

May 20, 2025By the provider in NPPES

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

Other names 1

• Kelly A Scott Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Capital OB/GYN, Inc.

  • Obstetrics & Gynecology Physician
  • Sacramento, CA
  • NPI 1730136680
  Medicare reassignment NPD
• Associates in Womens Health Care

  • Obstetrics & Gynecology Physician
  • Roseville, CA
  • NPI 1366419491
  NPD (past)
• Kamras and Polansky Medical Corporation

  dba Camellia Women's Health

  • Obstetrics & Gynecology Physician
  • Carmichael, CA
  • NPI 1073578134
  NPD (past)
• Roseville Urology, Inc.

  • Urology Physician
  • Roseville, CA
  • NPI 1871822072
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1730157454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 JAMESON CT STE 1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080820",
            "telephone_number": "916-864-0411",
            "fax_number": "916-797-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 JAMESON CT STE 1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "95608",
            "telephone_number": "916-864-0411",
            "fax_number": "916-797-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "KELLY",
        "middle_name": "ALINE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "390508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SCOTT",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Audra Kay Grellmann, MS, CCC-SLP
• Andrew Lawrence Griffin, MD
• Gloria Griffin
• Catherine R Grinstead, DVM
• Devonte' Demez Grinstead, OTR/L
• Kimberly A Guenther, DO
• Emily Elizabeth Guerra
• Manual G. Guerra
• Miguel Guerra, DDS
• Alexandro Guerrero, OTD

• Obstetrics & Gynecology Nurse Practitioner in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Obstetrics & Gynecology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.