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SHIRLEY JEAN GRAGG LPN II,NREMT-B,CIC-C
NPI 1366973109
Licensed Practical Nurse in Pueblo, CO

Active since March 23, 2017
2118 CHATALET LN, PUEBLO, CO 81005(719) 564-2000 Get Directions Write a Review

NPPES record last updated: March 23, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shirley Jean Gragg Lpn Ii,nremt-b,cic-c NPPES

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

SHIRLEY JEAN GRAGG LPN II,NREMT-B,CIC-C (NPI 1366973109) is an individual licensed practical nurse in Pueblo, Colorado, licensed in Colorado (PN.0047668) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1366973109
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHIRLEY JEAN GRAGGCredential: LPN II,NREMT-B,CIC-C
Location Address2118 CHATALET LNPueblo, CO 81005-4625
Mailing Address202 La Vista RdPueblo, CO 81005-2619 · (719) 334-6584
Phone(719) 564-2000
Sole ProprietorYes
Enumeration DateMarch 23, 2017
✔ NPI 1366973109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in CO · PN.0047668
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X · License EMT 511744 (FL)
2118 CHATALET LN, Pueblo, CO 81005
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Other Providers at the Same Location NPPES 6

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

ANNIE GARCIA LCSW
Social Worker (Clinical)
2118 CHATALET LN
PUEBLO, CO 81005
Pueblo County (720) 519-8487
DAYNA ELLEN EHLERS DPT, PT
Physical Therapist
2118 CHATALET LN
PUEBLO, CO 81005
Pueblo County (719) 564-2000
MR. ROMEO OLIVA JR. PT
Physical Therapist
2118 CHATALET LN
PUEBLO, CO 81005
Pueblo County (719) 564-2000
MRS. JEAN A LARSON MSW LCSW
Social Worker (Clinical)
2118 CHATALET LN
PUEBLO, CO 81005
Pueblo County (719) 564-2000
HOPE HAVEN THERAPY PLLC
Social Worker (Clinical)
2118 CHATALET LN
PUEBLO, CO 81005
Pueblo County (888) 948-6789
SOUTH PUEBLO MEDICAL INVESTORS, LLC
Skilled Nursing Facility
2118 CHATALET LN
PUEBLO, CO 81005
Pueblo County (719) 564-2000

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 Shirley Gragg's NPI number?

The NPI number for Shirley Gragg is 1366973109. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Shirley Gragg located?

Shirley Gragg practices at 2118 Chatalet Ln, Pueblo, CO 81005. The listed phone number is (719) 564-2000.

What is Shirley Gragg's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shirley Gragg was last updated on March 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.