Heidi Grieb

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00012190 Issued in WA

Practice address

6251 NE Bothell Way
Kenmore, WA 98028-8941

Phone

(425) 205-3478

NPI assigned

Jul 30, 2011

Last updated

Jul 30, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1311984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311984000000",
    "number": "1831477439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8411 NE 150TH PL",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6251 NE BOTHELL WAY",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980288941",
            "telephone_number": "425-205-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIEB",
        "first_name": "HEIDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-30",
        "last_updated": "2011-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00012190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pablo Gonzalez Balzar, DDS, MS
• Ashley Sharlene Gonzalez, CCMA, BIRTH DOULA
• Joan F Gorkos, L.M.P.
• Robert Martin Gottlieb, DDS
• Sonya C Grace, LMP
• Trisanna M Gruel, FNP
• Amy J Halberstadt, LMP
• Ann Snortum Hansen, MPT
• Nona L. Hanson, MD
• Cristen Harris, PHD, RDN

• Specialist in Kenmore, WA
• Providers in Kenmore, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2011; 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.