Active NPI
Jeremy Grube
- Social Worker
- Wasilla, AK
National Provider Identifier
1245535780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 231 E Swanson Ave Ste 25B
Wasilla, AK 99654-7056 - Phone
- (907) 376-1922
- Fax
- (907) 376-1925
- NPI assigned
- Jan 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
231 E Swanson Ave Ste 25B
Wasilla, AK 99654-7056
Mailing address
231 E Swanson Ave Ste 25B
Wasilla, AK 99654-7056
Phone (907) 376-1922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starfish Cares LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Wasilla, AK
- NPI 1669702114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294876800000",
"number": "1245535780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 E SWANSON AVE STE 25B",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547056",
"telephone_number": "907-376-1922",
"fax_number": "907-376-1925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 E SWANSON AVE STE 25B",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547056",
"telephone_number": "907-376-1922",
"fax_number": "907-376-1925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBE",
"first_name": "JEREMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-13",
"last_updated": "2011-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.