Active NPI
Kathleen Patricia Grund-Epley, F.N.P.
- Nurse Practitioner
- Yuma, AZ
National Provider Identifier
1881621167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN056646
- Practice address
- 2377 S 22ND Dr
Yuma, AZ 85364-8865 - Phone
- (928) 343-0488
- Fax
- (928) 782-0401
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN056646 | AZ | Primary |
Addresses
Primary practice location
2377 S 22ND Dr
Yuma, AZ 85364-8865
Mailing address
2377 S 22ND Dr
Yuma, AZ 85364-8865
Phone (928) 343-0488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341628 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN056646 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Emergency Physicians, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Yuma, AZ
- NPI 1992732259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352419200000",
"number": "1881621167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2377 S 22ND DR",
"city": "YUMA",
"state": "AZ",
"postal_code": "853648865",
"telephone_number": "928-343-0488",
"fax_number": "928-782-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2377 S 22ND DR",
"city": "YUMA",
"state": "AZ",
"postal_code": "853648865",
"telephone_number": "928-343-0488",
"fax_number": "928-782-0401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUND-EPLEY",
"first_name": "KATHLEEN",
"middle_name": "PATRICIA",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2012-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "RN056646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "341628",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.