Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shirley Jean Gragg, LPNII, NREMT-B, CIC-C

Individual provider Basic Emergency Medical Technician · NPI 1366973109

Shirley Jean Gragg, LPNII, NREMT-B, CIC-C is a Basic Emergency Medical Technician in Pueblo, Colorado. Practices as a sole proprietor. Licensed in Colorado and Florida.

Licensed in
CO, FL
In the registry since
2017
Specialties on file
2

Practice location Address checks out

2118 Chatalet Ln
Pueblo, CO 81005-4625
Phone: (719) 564-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN.0047668 (CO)
Basic Emergency Medical Technician Taxonomy 146N00000X · Licence EMT 511744 (FL)

Record details

NPI number1366973109
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPNII , NREMT-B , CIC-C
Sole proprietorYes
NPI enumeratedMarch 23, 2017
Last updated in NPPESMarch 23, 2017