Myriam F Grondal

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

831 E 12TH Ave
New Smyrna Beach, FL 32169-3307

Phone

(386) 428-5510

NPI assigned

Mar 20, 2009

Last updated

Mar 20, 2009By 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 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237507200000",
    "number": "1841431848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 E 12TH AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321693307",
            "telephone_number": "386-428-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 E 12TH AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321693307",
            "telephone_number": "386-428-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONDAL",
        "first_name": "MYRIAM",
        "middle_name": "F",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAIN AND SPINAL CORD INJURY PROGRAM - PROVIDER #",
            "identifier": "678469179",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon G Greenhalgh, PHD
• Greg J. Mercurio, MD, PA (Causeway Medical)
• Gregory P. Samano D.O., P.a.
• Emily Gregory
• Stephen Patrick Griffith, MD
• Amy M Grossi, CLC
• Guardian Home II Alf LLC
• Stephania Guerrero
• Jennifer Guiliano
• Courtney Leah Gunn, PHARMD

• Nurse's Aide in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.