Individual provider Active NPI

Kimberly A Gropp, APRN

  • Gerontology Nurse Practitioner
  • Greenwich, CT
National Provider Identifier
1932102019
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
001693 Issued in CT
Practice address
75 Holly Hill LN
Greenwich, CT 06830-6098
Phone
(203) 869-6960
Fax
(203) 869-5103
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 001693 CT Primary

Addresses

Primary practice location

75 Holly Hill LN
Greenwich, CT 06830-6098

Mailing address

75 Holly Hill LN
Greenwich, CT 06830-6098
Phone (203) 869-6960

Other identifiers 2

IdentifierTypeStateIssuer
D400001380OtherCTMEDICARE - UNSPECIFIED
004188828MedicaidCT

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

LicenseStateTypeSpecialty
001693CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NP Care, LLC Past Accepting new patients
NP Care, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1932102019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HOLLY HILL LN",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306098",
            "telephone_number": "203-869-6960",
            "fax_number": "203-869-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HOLLY HILL LN",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306098",
            "telephone_number": "203-869-6960",
            "fax_number": "203-869-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROPP",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "001693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - UNSPECIFIED",
            "identifier": "D400001380",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004188828",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.