Individual Healthcare Provider
Kelly P Grenner, ARNP-FNP
Provider's NPPES record last updated: July 23, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003424128
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Bothell, Washington
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 2:50 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (Washington)
- AP61085959
Practice Locations
Practice Location
10025 Ne 186th St
Bothell, Washington 98011-3839
Phone: (425) 486-9131
Additional Practice Location
15424 Ne 160th St
Woodinville, Washington 98072-8180
Phone: (206) 351-1231
Additional Practice Location
22850 Ne 8th St Ste 103
Sammamish, Washington 98074-7256
Phone: (425) 898-0305
Fax: (425) 898-8825
Additional Practice Location
15424 Ne 160th St
Woodinville, Washington 98072-8180
Phone: (206) 351-1231
Record Information
- Enumeration Date
- July 14, 2020
- Provider's NPPES Record Last Updated
- July 23, 2026
- Certification Date
- July 23, 2026
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue