Shelby Rae Groppuso, CPO, LPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

PS60774668 Issued in WA

Practice address

701 N Miller St Ste B
Wenatchee, WA 98801-3904

Phone

(509) 293-8170

NPI assigned

Nov 20, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1881230233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N MILLER ST STE B",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N MILLER ST STE B",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013904",
            "telephone_number": "509-293-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROPPUSO",
        "first_name": "SHELBY",
        "middle_name": "RAE",
        "credential": "CPO, LPO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "WA",
            "license": "OI60830371",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "WA",
            "license": "PS60774668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shgroppuso@hanger.com",
            "affiliation": "N",
            "address_1": "701 N Miller St Ste B",
            "city": "Wenatchee",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988013904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taylor Marie Greig, LMHCA
• Holly Elizabeth Grennan, SUDPT
• Navjot Kaur Grewal
• Cy Wayne Grimmett, DPT
• Thomas Dean Grindle
• Shannon R Grosdidier, MD
• Joann Gruener, MPH, RD
• Christian Manuel Guadamuz, PA-C
• Melisa Guerra
• Yonatan Guerrero Cruz, RN

• Prosthetist in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Prosthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.