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Sandra L Grubb

Licensed Practical Nurse β€’ Dayton, OH

Active NPI 1063729838 Individual Practitioner Female Practitioner
Practice location in NPPES

2105 Sidneywood Dr Apt D
Dayton, OH 454492651

Call 9372042043 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2105 Sidneywood Dr Apt D

Dayton, OH 454492651

Telephone 9372042043

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dayton and Ohio

638 active clinicians are listed under Licensed Practical Nurse with a practice address in Dayton, OH (12,649 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dayton

0% of these 638 clinicians have the CMS telehealth indicator.

0% of these 638 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-28
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH PN 133556 IV

An individual 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 28, 2025

Registered at 2105 SIDNEYWOOD DR APT D, DAYTON, OH 454492651 (Tel: 9372042043)

πŸ“
Updated Business Mailing Address June 28, 2025

Registered at 2105 SIDNEYWOOD DR APT D, DAYTON, OH 454492651 (Tel: 9372042043)

βœ…
NPI Profile Active September 01, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 01, 2010

Registered at 1020 OLD MAIN ST, MIAMISBURG, OH 453423141 (Tel: 9373014218)

πŸ“
Business Mailing Address (Initial Record) September 01, 2010

Registered at 1020 OLD MAIN ST, MIAMISBURG, OH 453423141 (Tel: 9373014218)

πŸ‘€
Provider Name / Credentials (Initial Record) September 01, 2010

Recorded as SANDRA GRUBB

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2010

Licensed Practical Nurse (license number reported to NPPES: OH PN 133556 IV)

🟒
Initial NPI Registration & Enumeration September 01, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063729838
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2010
Last Update: June 28, 2025
Sole Proprietor: Yes

Mailing Address

2105 Sidneywood Dr Apt D

Dayton, OH 454492651

Phone: 9372042043

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.