MS. LORRAINE GWEN GRUBE PA-C
NPI 1184614828
Physician Assistant - Medical in Cripple Creek, CO

Q: What is Lorraine Grube's NPI number?

The NPI number for Lorraine Grube is 1184614828. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Q: What is Lorraine Grube's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Lorraine Grube was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 25, 2005

412 NORTH C STREET, CRIPPLE CREEK, CO 80813(719) 200-9668 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Lorraine Gwen Grube Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LORRAINE GWEN GRUBE PA-C (NPI 1184614828) is an individual medical provider in Cripple Creek, Colorado, licensed in Colorado (1516) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1184614828

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. LORRAINE GWEN GRUBECredential: PA-C

Location Address412 NORTH C STREETCripple Creek, CO 80813

Mailing Address3205 N Academy Blvd, Suite 130Colorado Springs, CO 80917-5101 · (719) 632-5700 · Fax (719) 344-7837

Phone(719) 200-9668

Sole ProprietorNo

Enumeration DateOctober 25, 2005

Last NPPES UpdateDecember 8, 2014

✔ NPI 1184614828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CO · 1516

412 NORTH C STREET, Cripple Creek, CO 80813

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Other Identifiers 4

Medicare PIN810643CO

Medicare OSCAR/certification810643CO

Medicare UPIN810643CO

Medicaid44985738CO

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHOLIC HEALTH INITIATIVES COLORADO

Family Medicine

412 NORTH C STREET
CRIPPLE CREEK, CO 80813

Teller County (719) 286-1100

PEAK VISTA COMMUNITY HEALTH CENTERS

Clinic/Center (Federally Qualified Health Center (FQHC))

412 NORTH C STREET
CRIPPLE CREEK, CO 80813

Teller County (719) 689-9230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lorraine Grube's NPI number?

The NPI number for Lorraine Grube is 1184614828. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Lorraine Grube located?

Lorraine Grube practices at 412 North C Street, Cripple Creek, CO 80813. The listed phone number is (719) 200-9668.

What is Lorraine Grube's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Lorraine Grube was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.