Kathy Lynn Grindle, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN113059 Issued in AZ

Practice address

336 S Paseo Madera Unit D
Green Valley, AZ 85614-0740

Phone

(702) 806-0775

NPI assigned

Jun 18, 2022

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655510400000",
    "number": "1952032245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 S PASEO MADERA UNIT D",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140740",
            "telephone_number": "702-806-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S PASEO MADERA UNIT D",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140740",
            "telephone_number": "702-806-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINDLE",
        "first_name": "KATHY",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-18",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN113059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Valley Family Care
• Green Valley Memory Associates, LLC
• Green Valley Physical Medicine, Inc
• Colleen M Green, PMHNP-BC
• Vicki L Greiff, MD
• Garth Gruenhagen, COTA
• Ernesto Gutierrez, MD
• Keila Gutierrez, M.A.
• Juan J Guzman, MD
• GV Acupuncture LLC

• Registered Nurse in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2022; 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.