MS. LORRAINE GWEN GRUBE (NPI# 1184614828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184614828 |
| Entity Type | Individual |
| Full Name | MS. LORRAINE GWEN GRUBE |
| Credential | PA-C |
| Practice Address |
412 North C Street Cripple Creek CO 80813 |
| Mailing Address |
3205 N Academy Blvd Suite 130 Colorado Springs CO 80917-5101 |
| Practice Telephone | 7192009668 |
| Mailing Telephone | 7196325700 |
| Mailing Fax Number | 7193447837 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2014-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1516 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 44985738 | 05 |
| Street Address |
412 NORTH C STREET |
| City | CRIPPLE CREEK |
| State | CO |
| Zip Code | 80813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598119794 | Catholic Health Initiatives Colorado | Family Medicine | 412 North C Street, Cripple Creek, CO 80813 | 2016-04-14 |
| 1659606580 | Peak Vista Community Health Centers | Clinic/Center | 412 North C Street, Cripple Creek, CO 80813 | 2009-10-09 |
| 1952334989 | Linda Marie Hewett | Nurse Practitioner | 412 North C Street, Cripple Creek, CO 80813 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629608427 | Southwest Teller County Emergency Medical Services | Ambulance | 147 East Bennett Avenue, Cripple Creek, CO 80813 | 2020-01-21 |
| 1043756133 | Amy Terry | Registered Nurse | 308 East Eaton Ave, Cripple Creek, CO 80813 | 2017-01-12 |
| 1093174930 | Alessandra Marie Bullis | Nurse Practitioner | 412 N C St, Cripple Creek, CO 80813 | 2016-02-21 |
| 1144685918 | Aspenpointe Inc Dba Aspenpointe Health Services | Clinic/Center | 166 E Bennett Ave, Cripple Creek, CO 80813 | 2015-12-22 |
| 1164768164 | Carla Young | Massage Therapist | 151 E. Bennett Ave., Cripple Creek, CO 80813 | 2012-12-19 |
| 1487968244 | Nicole Leadley | Dentist | 1101 Teller County Road 1, Cripple Creek, CO 80813 | 2010-08-03 |
| 1457514036 | Kurt A Wever Md PC | Family Medicine | 1101 Teller County Rd 1, Cripple Creek, CO 80813 | 2008-07-03 |
| 1497800668 | Southwest Teller County Emergency Medical Services | Ambulance | 147 E. Bennett Avenue, Cripple Creek, CO 80813 | 2007-01-25 |
| 1306819453 | Robert Paul Reid | Family Medicine | 1101 County Rd 1, Cripple Creek, CO 80813 | 2006-02-09 |
| 1437765195 | Catholic Health Initiatives Colorado | Internal Medicine | 1101 Teller County Rd 1, Cripple Creek, CO 80813 | 2020-09-18 |
| Find all providers in zip 80813 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677240 | Monique Minter | Physician Assistant | 5504 Malta St, Denver, CO 80249-8649 | 2020-10-23 |
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1013478445 | Robin Elise Feldman | Physician Assistant | 17033 E Dorado Dr, Centennial, CO 80015-3029 | 2019-03-28 |
| 1780141895 | Wendy Mc Bui | Physician Assistant | 1530 S Florence Way Unit 312, Aurora, CO 80247 | 2019-02-25 |
| 1639650252 | Jade Golden | Physician Assistant | 101 Founders Pl Ste 109, Aspen, CO 81611-1476 | 2018-08-22 |
| 1861902157 | Hannah Ellen Martin | Physician Assistant | Children's Hospital Colorado 13123 East 16th Avenue, Box 060, Aurora, CO 80045-0600 | 2017-10-02 |
| 1861901878 | Stephanie J Dyck IIi | Physician Assistant | 3800 North York St, Denver, CO 80205-3540 | 2017-09-21 |
| 1932622719 | Brooke Annette Albert | Physician Assistant | 2801 Youngfield St Ste 150, Golden, CO 80401-0209 | 2017-07-24 |
| 1912433400 | Wendy Miller | Physician Assistant | 4041 E Forbes Ct, Greenwood Village, CO 80121-3943 | 2017-05-03 |
| 1154863249 | Zachary A Hitchcock | Physician Assistant | 1107 S Lemay Ave Ste 240, Fort Collins, CO 80524-3959 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
| City | CRIPPLE CREEK |
| Zip Code | 80813 |
Please comment or provide details below to improve the information on MS. LORRAINE GWEN GRUBE.
| 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.