ALYSSA JANE GRUNDON NPI 1154963809

NPI Information

NPI: 1154963809
Provider Name: ALYSSA JANE GRUNDON
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
1001 E OSCEOLA PKWY STE 230
KISSIMMEE, FL
ZIP 34744
Phone: (407) 847-6166
Get Directions

Alyssa Jane Grundon is an obstetrics and gynecology nurse practitioner in Kissimmee, FL. Alyssa Jane Grundon NPI is 1154963809. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1001 E OSCEOLA PKWY STE 230
KISSIMMEE, FL
ZIP 34744-616
Phone: (407) 847-6166
Fax: (407) 847-5112

The NPI 1154963809 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/15/2019 and was last updated on 1/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN9408793	FLORIDA	No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	APRN11015726	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »