Active NPI
Raymond E Grundman, RN, MSN, FNP-C
- Family Nurse Practitioner
- Milwaukee, WI
National Provider Identifier
1952511420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 13
- Practice address
- 3310 N Downer Ave
Norris Health Center
Milwaukee, WI 53211-2933 - Phone
- (414) 229-4716
- NPI assigned
- May 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13 | WI | Primary |
Addresses
Primary practice location
3310 N Downer Ave
Norris Health Center
Milwaukee, WI 53211-2933
Mailing address
28454 Plank Rd
Hwy a
Burlington, WI 53105
Phone (414) 791-2601
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)
- Not enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13 | WI | MD | Anesthesiologist Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952511420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28454 PLANK RD",
"address_2": "HWY A",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "53105",
"telephone_number": "414-791-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 N DOWNER AVE",
"address_2": "NORRIS HEALTH CENTER",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532112933",
"telephone_number": "414-229-4716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUNDMAN",
"first_name": "RAYMOND",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "RN, MSN, FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "13",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.