Eirene Sarah Kranick, FNP
Individual provider Active NPI Family Nurse Practitioner · Colfax, WA
NPI 1104868751 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1104868751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP30007312 (WA)
- Practice address
- 4462 Bob Schultz Rd
Colfax, WA 99111-8683 - Phone
- (425) 344-8123
- NPI assigned
- Jun 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 29
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Association of Spokane
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
- St Joseph Regional Medical Center
- Tri-State Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220718003687 | ID | Practitioner - Nurse Practitioner | 9931104445 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Association of Spokane | Current |
Accepting new patients | |
| Community Health Association of Spokane | Current |
Accepting new patients | |
| Santiam Memorial Hospital | Past | Accepting new patients | |
| Santiam Memorial Hospital | Past | Accepting new patients | |
| Community Health Association of Spokane | Past | Accepting new patients | |
| Santiam Memorial Hospital | Past | Accepting new patients | |
| Dietrich & Smith Clinic Inc P S | 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 (207) 865-8002
3919 N Maple St
Spokane, WA 99205
Phone (509) 326-6900
914 W Carlisle Ave
Spokane, WA 99205
Phone (509) 325-0393
1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205
5620 S Regal St
Ste 11
Spokane, WA 99223
Phone (509) 340-1590
5901 N Lidgerwood St
Ste 128
Spokane, WA 99208
Phone (509) 325-6970
611 N Iron Bridge Way
Spokane, WA 99202
5901 N Lidgerwood St
Ste 126
Spokane, WA 99208
Phone (509) 434-1990
5921 N Market St
Spokane, WA 99208
Phone (509) 487-1604
1502 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 444-8204
Interoperability endpoints
- eirene.kranick.1@11411.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30007312 | WA | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP30007312 | Other | WA | STATE LICENSE NUMBER |
Other names
- Eirene Beach
Other providers in Colfax, WA
- Nathan Johnson
- Jeffrey D Jones
- Irene Kamoye
- Allen Richard Kirkpatrick
- Cassidy A Kobialka
- Erin Kroll
- Raylene Lawrence
- Margaret Frazier Leland
- Liberty Development Company, LLC
- Anthony W.. Lundberg
All providers in Colfax, WA · Family Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.