Adriana Elise Grubke, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

4704341112 Issued in MI

Practice address

22318 Ford Rd
Dearborn Heights, MI 48127-2421

Phone

(313) 278-2788

NPI assigned

Oct 6, 2020

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

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Premier Pediatrics

  • Pediatrics Physician
  • Dearborn Heights, MI
  • NPI 1417407032
  NPD (past)

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1417554106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8742 W PARK RIDGE CIR",
            "city": "NEWPORT",
            "state": "MI",
            "postal_code": "481669289",
            "telephone_number": "745-775-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22318 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272421",
            "telephone_number": "313-278-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBKE",
        "first_name": "ADRIANA",
        "middle_name": "ELISE",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704341112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Transportation 1 LLC
• James Francis Grech
• Harpreet Kaur Grewal
• Lena Marie Griffin, BSW
• Grow Together Therapy, PLLC
• Guiding Growth LLC
• Lynette Guss, APRN-BC
• H & R Medical Practice, PC
• H & R Medical Transportation LLC
• H Rex Ruettinger D O P C

• Pediatric Nurse Practitioner in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Pediatric Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.