JENNIFER S. GRUENWALD (NPI# 1306216908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306216908 |
| Entity Type | Individual |
| Full Name | JENNIFER S. GRUENWALD |
| Credential | ARNP |
| Practice Address |
1300 Ne Goldie St Oak Harbor WA 98277-4832 |
| Mailing Address |
Po Box 3603 Seattle WA 98124-3603 |
| Practice Telephone | 3606795590 |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP60600268 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1300 NE GOLDIE ST |
| City | OAK HARBOR |
| State | WA |
| Zip Code | 98277-4832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467497636 | Whidbey Island Public Hospital District | Clinic/Center | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2006-06-19 |
| 1821632639 | Whidbey Island Public Hospital District | Clinic/Center | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2019-11-05 |
| 1710402540 | Seth M Grisham | Physician Assistant | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2017-08-14 |
| 1912317496 | Marcia Fort | Social Worker | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2014-05-05 |
| 1700221504 | Elizabeth Nell Harris | Nurse Practitioner | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2013-05-07 |
| 1134480056 | Annette Fly | Nurse Practitioner | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2012-06-07 |
| 1871894543 | Kimberly Marie Ferguson | Physician Assistant | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2010-11-10 |
| 1063654523 | Mary Brencick | Social Worker | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2009-03-30 |
| 1699930149 | Susan Henry | Massage Therapist | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2008-07-24 |
| 1376769810 | Lynda Reidling | Nurse Practitioner | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952951782 | Amber Dorothy Rettus | Counselor | 31640 Wa -20 #1, Oak Harbor, WA 98277 | 2019-09-13 |
| 1528612082 | Grace Alfery Finnell | Pharmacist | 31645 Sr 20, Oak Harbor, WA 98277 | 2019-08-01 |
| 1407321839 | Leah Marie Threats | Behavior Technician | Advance Behavioral Education Continuum, 231 Se Barrington Dr. Ste 201, Oak Harbor, WA 98277 | 2018-10-12 |
| 1285115329 | Jared M Wirth | Dentist | 275 Se Cabot Dr., #b201, Oak Harbor, WA 98277 | 2018-08-27 |
| 1952896854 | Makella Ann Mccormack | Behavior Technician | 231 Se Barrington Dr. Ste 203, Oak Harbor, WA 98277 | 2018-06-25 |
| 1972004703 | Sophia Kaye Johnson | Counselor | 3165 Wa-20 Suite#1, Oak Harbor, WA 98277 | 2018-02-27 |
| 1043728827 | Lance D Keyes Dds | Dentist | 32650 State Route 20 Ste E106, Oak Harbor, WA 98277 | 2018-01-16 |
| 1689195075 | Laboratory Corporation of America | Clinical Medical Laboratory | 275 Se Cabot Dr Ste A9, Oak Harbor, WA 98277 | 2017-07-06 |
| 1841723368 | Stephanie Bailey | Behavioral Analyst | 231 Barrington Dr. Suite 201, Oak Harbor, WA 98277 | 2017-04-11 |
| 1336684463 | Angel Lyn Faith Camello | Behavior Technician | 31955 State Route 20, #3, Oak Harbor, WA 98277 | 2016-12-28 |
| Find all providers in zip 98277 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730713348 | Terra Ann Mclain | Nurse Practitioner | 2803 Pilot Ln, Yakima, WA 98901-1022 | 2020-02-24 |
| 1437716032 | Julia Yang Chen | Nurse Practitioner | 16831 1st Ave W, Bothell, WA 98012-4961 | 2019-05-20 |
| 1699242651 | Patricia Fay Fitzhugh | Nurse Practitioner | 615 W 16th Ave, Spokane, WA 99203-2130 | 2018-10-29 |
| 1598240657 | Beibei Chen | Nurse Practitioner | 5801 223rd Pl Sw, Mountlake Terrace, WA 98043-3123 | 2018-09-25 |
| 1497203244 | Trina Koudelka | Nurse Practitioner | 3015 Squalicum Pkwy Ste 100, Bellingham, WA 98225-1906 | 2016-09-21 |
| 1255791414 | Quynh-anh Phan | Nurse Practitioner | 801 Sw 150th St Ste 230, Burien, WA 98166-1855 | 2016-03-02 |
| 1467836056 | Horizon Health Foundation | Nurse Practitioner | 123 W. Cascade Way, Spokane, WA 99208 | 2015-07-14 |
| 1578955910 | Esateys Stuchiner | Nurse Practitioner | 19410 Ne 116th St, Brush Prairie, WA 98606-3002 | 2015-02-23 |
| 1619377587 | Phiroce Ishaque, LLC | Nurse Practitioner | 5414 Barnes Ave Nw Ste 1, Seattle, WA 98107-3839 | 2014-08-28 |
| 1700217155 | Elisa Martin | Nurse Practitioner | 6025 Vassar Ave Ne, Seattle, WA 98115-7622 | 2013-12-11 |
| Find all providers with the same taxonomy | ||||
| City | OAK HARBOR |
| Zip Code | 98277 |
Please comment or provide details below to improve the information on JENNIFER S. GRUENWALD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.