Brynna Grimestad

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1360 Issued in ND

Practice address

1150 Prairie Pkwy Ste 105
West Fargo, ND 58078-3168

Phone

(701) 356-7766

Fax

(701) 356-7765

NPI assigned

Sep 30, 2014

Sex

Female

Sole proprietor

No

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.

• Myna Therapy Services PLLC

  • Multi-Specialty Clinic/Center
  • Fargo, ND
  • NPI 1427788629

  Speech-Language Pathologist

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2014.

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1982007332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 PRAIRIE PKWY STE 105",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783168",
            "telephone_number": "701-356-7766",
            "fax_number": "701-356-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 PRAIRIE PKWY STE 105",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783168",
            "telephone_number": "701-356-7766",
            "fax_number": "701-356-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMESTAD",
        "first_name": "BRYNNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Marie Grahn, LPCC, LMAC
• Alexandra Grandbois, BA
• Caroline Francis Gravel
• Michael David Greenwood, M.D.
• Gregory Lowenberg, DC, PC
• Janet E Grove, MS CCC-SLP
• Josalyn J Grueneich, APRN,CNP
• Aleah Guggisberg
• Anna Gunvalson
• Jason D. Haak, P.T.

• All providers in West Fargo, ND
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.