Individual provider Active NPI

Grace Linda Mimmack Ohnstad

  • Critical Care Medicine Registered Nurse
  • Orlando, FL
National Provider Identifier
1740170067
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
RN9635023 Issued in FL
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

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN9635023FLMDCritical 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.

Verify at the official NPI Registry.