Individual provider Active NPI

Julie Ann Prieboy, CFNP

  • Oncology Clinical Nurse Specialist
  • Merrillville, IN
National Provider Identifier
1366743114
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinical Nurse SpecialistTaxonomy code 364SX0200X
License
28096366A Issued in IN
Practice address
200 E 89TH Ave
2A
Merrillville, IN 46410-7318
Phone
(219) 736-2800
Fax
(219) 738-3707
NPI assigned
Nov 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinical Nurse Specialist 364SX0200X 28096366A IN Primary

Addresses

Primary practice location

200 E 89TH Ave
2A
Merrillville, IN 46410-7318

Mailing address

200 E 89TH Ave
2A
Merrillville, IN 46410-7318
Phone (219) 736-2800

Other names 1

  • Julie Ann Grubach Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
28096366AINMDOncology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Suniti Medical Corporation PastSince Apr 1, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: julie.prieboy@poha.direct-geniusdoc.com
  • Direct secure messaging: julie.prieboy@pomh.direct-geniusdoc.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1366743114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 89TH AVE",
            "address_2": "2A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107318",
            "telephone_number": "219-736-2800",
            "fax_number": "219-738-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 89TH AVE",
            "address_2": "2A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107318",
            "telephone_number": "219-736-2800",
            "fax_number": "219-738-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEBOY",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SX0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Oncology",
            "state": "IN",
            "license": "28096366A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "GRUBACH",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.