Kimberly Grob

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F0216474 Issued in MN

Practice address

2000 Plymouth Rd Ste 305
Minnetonka, MN 55305-2335

Phone

(651) 900-5593

NPI assigned

May 6, 2016

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

Other names 1

• Kimberly Nygaard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1851747091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PLYMOUTH RD STE 305",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052335",
            "telephone_number": "651-900-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PLYMOUTH RD STE 305",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052335",
            "telephone_number": "651-900-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROB",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "F0216474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "NYGAARD",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Barry Griffith, PT
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• Jared Mathew Grootwassink, MD
• Wesley Robert Grootwassink, M.D.
• Jessica Gross, MA, LMFT
• Irene Grudsky
• Guardian Homes Inc.

• Family Nurse Practitioner in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.