Krista Rose Gruhn, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

371 E Bultman Ave
Fort Stewart, GA 31314

Phone

(632) 834-2179

NPI assigned

Aug 3, 2009

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1801027263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BURKE DR APT 718",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133833",
            "telephone_number": "631-834-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 E BULTMAN AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "632-834-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUHN",
        "first_name": "KRISTA",
        "middle_name": "ROSE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Rochelle Grimes, RN
• Dawn Marie Grogan, LCSW
• Keith Guy Groover, ARRT R.T. (R)(CT)
• Stanley M. Grossman, DDS
• Lucas Lee Groves, M.D.
• Joyce Corpuz Gulle, M.D
• Rosalinda Gutierrez
• Justin A Guyot
• Zory Mar Guzman-Figueroa, MSCP
• Nancy Jo Guzman, LPN

• Athletic Trainer in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.