Gayle Marie Grubich, ARNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP30007990 Issued in WA

Practice address

529 Jasmine St
Omak, WA 98841-9589

Phone

(509) 826-1600

Fax

(509) 826-3617

NPI assigned

Nov 30, 2005

Last updated

Nov 27, 2012By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1396729794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3188",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988413188",
            "telephone_number": "509-826-1600",
            "fax_number": "509-826-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 JASMINE ST",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419589",
            "telephone_number": "509-826-1600",
            "fax_number": "509-826-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBICH",
        "first_name": "GAYLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP30007990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9656745",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0238881",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alissa Noelle Greenberg
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• Lance David Griffin, CRNA
• Grillo and Robeck PLLC (Grillo Robeck Dental)
• Gregory Gerald Grillo, DDS
• Autumn Layla Gruenwald
• John William Hamill, MD
• John Herbert Hammer, DC
• Phylicia Hancock-Lewis, ARNP
• Leia Hansen

• Primary Care Nurse Practitioner in Omak, WA
• Providers in Omak, WA by specialty
• Primary Care Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.