MRS. KIMBERLY ANN GRUNDY APN
NPI 1255579124
Nurse Practitioner - Pediatrics in Little Rock, AR

Q: What is Kimberly Grundy's NPI number?

The NPI number for Kimberly Grundy is 1255579124. It was assigned to this individual provider in the NPPES registry on January 29, 2009.

Q: What is Kimberly Grundy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Grundy was last updated on January 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 29, 2009

800 MARSHALL ST # 512-3, LITTLE ROCK, AR 72202(501) 364-1479 Get Directions Write a Review

NPPES record last updated: January 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Kimberly Ann Grundy Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIMBERLY ANN GRUNDY APN (NPI 1255579124) is an individual pediatrics provider in Little Rock, Arkansas, licensed in Arkansas (A03184) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1255579124

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. KIMBERLY ANN GRUNDYCredential: APN

Location Address800 MARSHALL ST # 512-3Little Rock, AR 72202-3510

Mailing Address12a S Beryl RdJacksonville, AR 72076-8708 · (501) 749-5446

Phone(501) 364-1479

Sole ProprietorYes

Enumeration DateJanuary 29, 2009

✔ NPI 1255579124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in AR · A03184

800 MARSHALL ST # 512-3, Little Rock, AR 72202

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Grundy's NPI number?

The NPI number for Kimberly Grundy is 1255579124. It was assigned to this individual provider in the NPPES registry on January 29, 2009.

Where is Kimberly Grundy located?

Kimberly Grundy practices at 800 Marshall St # 512-3, Little Rock, AR 72202. The listed phone number is (501) 364-1479.

What is Kimberly Grundy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kimberly Grundy was last updated on January 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.