Active NPI
Sandra K Grebing
- Critical Care Neonatal Nurse Practitioner
- Cape Girardeau, MO
National Provider Identifier
1043821556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- 2020025206
- Practice address
- 211 Saint Francis Dr
Cape Girardeau, MO 63703-5049 - Phone
- (573) 331-5504
- Fax
- (573) 331-5086
- NPI assigned
- Aug 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 2020025206 | MO | Primary |
Addresses
Primary practice location
211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Mailing address
PO Box 801143
Kansas City, MO 64180-1143
Phone (573) 331-5583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020025206 | MO | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Medical Center | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Cape Laboratory & Pathology, LC | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients |
Locations
211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000
Interoperability endpoints
- sgrebing16124@surescripts.sfmc.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1356304489
-
- Anatomic Pathology & Clinical Pathology Physician
- Cape Girardeau, MO
- NPI 1801872726
-
- Internal Medicine Physician
- Cape Girardeau, MO
- NPI 1578513016
-
- Clinic/Center
- Jackson, MO
- NPI 1992502975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1043821556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 801143",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641801143",
"telephone_number": "573-331-5583",
"fax_number": "573-331-5079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 SAINT FRANCIS DR",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035049",
"telephone_number": "573-331-5504",
"fax_number": "573-331-5086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREBING",
"first_name": "SANDRA",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-10",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "MO",
"license": "2020025206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.