Active NPI
Grace Linda Mimmack Ohnstad
- Critical Care Medicine Registered Nurse
- Orlando, FL
National Provider Identifier
1740170067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- RN9635023
- Practice address
- 1405 S Orange Ave Ste 500
Orlando, FL 32806-2153 - Phone
- (305) 899-3230
- NPI assigned
- Jul 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN9635023 | FL | Primary |
Addresses
Primary practice location
1405 S Orange Ave Ste 500
Orlando, FL 32806-2153
Mailing address
2175 Judge Fran Jamieson Way Apt 307
Melbourne, FL 32940-6177
Phone (720) 224-2116
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN9635023 | FL | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1740170067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2175 JUDGE FRAN JAMIESON WAY APT 307",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329406177",
"telephone_number": "720-224-2116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 S ORANGE AVE STE 500",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062153",
"telephone_number": "305-899-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHNSTAD",
"first_name": "GRACE",
"middle_name": "LINDA MIMMACK",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-08",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "FL",
"license": "RN9635023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.