Devin Jamie Grosklaus

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

202326111 Issued in WI

Practice address

4855 S Moorland Rd
New Berlin, WI 53151-7494

Phone

(262) 432-7599

NPI assigned

Aug 8, 2023

Last updated

Aug 31, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: dgrosklaus46472@direct.chw.org

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1750064564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 E DODGE ST",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741623",
            "telephone_number": "262-689-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 S MOORLAND RD",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517494",
            "telephone_number": "262-432-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSKLAUS",
        "first_name": "DEVIN",
        "middle_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "14460-33",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "202326111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah P Greil, MS, LPC, CSAC
• Jane Marie Gresser, PA-C
• Carol Grgic, PT
• Cristina Andrea Grieben, M.D.
• Rochelle M Griffin, O.T.
• Jeffrey John Gruchalski, DDS
• Jon James Gruchalski, DDS
• Vijayata Gupta, DDS
• Michael Gutzeit, M.D.
• Mary Gutzke

• Pediatric Nurse Practitioner in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Pediatric Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.