Active NPI
Jennifer Grube, CPRS
- Peer Specialist
- Wilmington, DE
National Provider Identifier
1689426959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 2179
- Practice address
- 2713 Lancaster Ave
Wilmington, DE 19805-5220 - Phone
- (302) 333-8261
- NPI assigned
- Apr 2, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 2179 | DE | Primary |
Addresses
Primary practice location
2713 Lancaster Ave
Wilmington, DE 19805-5220
Mailing address
2713 Lancaster Ave
Wilmington, DE 19805-5220
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2179 | DE | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1689426959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2713 LANCASTER AVE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198055220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2713 LANCASTER AVE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198055220",
"telephone_number": "302-333-8261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBE",
"first_name": "JENNIFER",
"credential": "CPRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-02",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "DE",
"license": "2179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.