Anastasia Lyn Grindle, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

22034 Issued in WI

Practice address

3726 Marigold Cir
Middleton, WI 53562-1222

Phone

(608) 836-5893

NPI assigned

May 31, 2018

Last updated

Aug 16, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1750873261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 MARIGOLD CIR",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 MARIGOLD CIR",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621222",
            "telephone_number": "608-836-5893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 McKenzie Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515031002",
            "country_code": "US",
            "telephone_number": "712-256-5272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 N 30th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681312136",
            "country_code": "US",
            "telephone_number": "531-355-6520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537922136",
            "country_code": "US",
            "telephone_number": "608-263-6190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRINDLE",
        "first_name": "ANASTASIA",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "22034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Middleton, WI
• Providers in Middleton, WI by specialty
• Audiologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.