Individual provider Active NPI

Eirene Sarah Kranick, FNP

  • Family Nurse Practitioner
  • Colfax, WA
National Provider Identifier
1104868751
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30007312 Issued in WA
Practice address
4462 Bob Schultz Rd
Colfax, WA 99111-8683
Phone
(425) 344-8123
NPI assigned
Jun 11, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30007312 WA Primary

Addresses

Primary practice location

4462 Bob Schultz Rd
Colfax, WA 99111-8683

Mailing address

6332 Mt Baker Hwy
Deming, WA 98244-9547
Phone (425) 344-8123

Other practice location 1

1203 Idaho St
Lewiston, ID 83501-1940
Phone (509) 444-8888

Other names 1

  • Eirene Beach Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220718003687 ID Practitioner - Nurse Practitioner 9931104445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1203 Idaho St
Lewiston, ID 83501-1940
Phone (208) 848-8300

803 S Main St
Moscow, ID 83843-2695
Phone (208) 848-8300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association of Spokane CurrentSince Jul 5, 2022 Accepting new patients
Community Health Association of Spokane CurrentSince Jul 5, 2022 Accepting new patients
Santiam Memorial Hospital Past Accepting new patients
Community Health Association of Spokane Past Accepting new patients
Dietrich & Smith Clinic Inc P S Past Accepting new patients
Santiam Memorial Hospital Past Accepting new patients
Santiam Memorial Hospital Past Accepting new patients

Locations

1203 Idaho St
Lewiston, ID 83501
Phone (208) 848-8300

803 S Main St
Ste 120
Moscow, ID 83843
Phone (208) 848-8300

1720 2nd St
Cheney, WA 99004
Phone (509) 444-8202

1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205

3919 N Maple St
Spokane, WA 99205
Phone (509) 326-6900

5620 S Regal St
Ste 11
Spokane, WA 99223
Phone (509) 340-1590

5901 N Lidgerwood St
Ste 126
Spokane, WA 99208
Phone (509) 434-1990

5901 N Lidgerwood St
Ste 128
Spokane, WA 99208
Phone (509) 325-6970

5921 N Market St
Spokane, WA 99208
Phone (509) 487-1604

611 N Iron Bridge Way
Spokane, WA 99202

914 W Carlisle Ave
Spokane, WA 99205
Phone (509) 325-0393

1502 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 444-8204

Interoperability endpoints

  • Direct secure messaging: eirene.kranick.1@11411.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1104868751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6332 MT BAKER HWY",
            "city": "DEMING",
            "state": "WA",
            "postal_code": "982449547",
            "telephone_number": "425-344-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4462 BOB SCHULTZ RD",
            "city": "COLFAX",
            "state": "WA",
            "postal_code": "991118683",
            "telephone_number": "425-344-8123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 Idaho St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835011940",
            "country_code": "US",
            "telephone_number": "509-444-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRANICK",
        "first_name": "EIRENE",
        "middle_name": "SARAH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-03-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EIRENE",
            "last_name": "BEACH",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colfax, WA

Sources for this page

Verify at the official NPI Registry.