Mary Katherine Conklin Gruel

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

NP-990248 Issued in CO

Practice address

3555 Lutheran Pkwy Ste 200
Wheat Ridge, CO 80033-6027

Phone

(720) 284-3700

NPI assigned

Dec 13, 2011

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kgruel11230@direct.childrenscolorado.org

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.

• Children'S Hospital Colorado

  • Clinical Social Worker
  • Aurora, CO
  • NPI 1174282776
  NPD
• Children'S Hospital Colorado

  • Pediatrics Physician
  • Wheat Ridge, CO
  • NPI 1518720481
  NPD (past)

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1336417708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PKWY STE 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336027",
            "telephone_number": "773-910-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PKWY STE 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336027",
            "telephone_number": "720-284-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUEL",
        "first_name": "MARY KATHERINE",
        "middle_name": "CONKLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "NP-990248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grit Therapy
• Amber Grob, APRN
• Jennifer L Groskopf
• Wavia L Grubaugh, MA
• Cierra Alexis Grubbs
• Guiding All of You Psychotherapy
• Claudia Elizabeth Guill, PTA
• Abby Gunn
• Sarah Gunther, LPC, LAC
• Brie Hyland Gunturu, RN

• Pediatric Nurse Practitioner in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Pediatric Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.