Victoria Anne Grube

Primary specialty

Immunology Pathology Specialist/TechnologistTaxonomy code 246QI0000X

Practice address

126 Missouri Ave
Fort Leonard Wood, MO 65473-8952

Phone

(573) 596-1682

NPI assigned

Oct 27, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1003116864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23350 ROSS RD",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MISSOURI AVE",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654738952",
            "telephone_number": "573-596-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBE",
        "first_name": "VICTORIA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QI0000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Kay Gray, LPN
• Charles Vernon Grife III, DDS
• Brendan Daugharty Griffis, DO
• Amanda Griswell
• Titilola Gros, PHARMD
• Sandra Lorraine Guest, MSSW
• Brooke Kaytlin Guttormson, RDN
• Douglas John Haberman, M.D.
• Haley & Assoc, LLC
• Patricia Hall-Stevens, RN

• Pathology Specialist/Technologist in Fort Leonard Wood, MO
• Providers in Fort Leonard Wood, MO by specialty
• Pathology Specialist/Technologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.