Individual provider Active NPI

Tamara Jo Grabeal, APRN-CNP

  • Family Nurse Practitioner
  • Weatherford, OK
National Provider Identifier
1245232255
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0059923 Issued in OK
Practice address
1303 N Washington St
Weatherford, OK 73096-2443
Phone
(580) 772-2820
Fax
(580) 772-2845
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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 R0059923 OK Primary

Addresses

Primary practice location

1303 N Washington St
Weatherford, OK 73096-2443

Mailing address

701 Cedar Lake Blvd Ste 120
Oklahoma City, OK 73114-7815
Phone (405) 445-1210

Other identifiers 1

IdentifierTypeStateIssuer
200013320AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100330001356 OK Practitioner - Nurse Practitioner 3870629702 Reassigns benefits to 1 organization
I20200402002535 KS Practitioner - Nurse Practitioner 3870629702 Reassigns benefits to 1 organization
I20241126000813 TX Practitioner - Nurse Practitioner 3870629702 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0059923OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Oct 31, 2019 Accepting new patients
DCS Medical PA CurrentSince Nov 19, 2024 Accepting new patients
DCS Medical PA CurrentSince Nov 19, 2024 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Oct 31, 2019 Accepting new patients
Aaron Clinic Past Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients

Locations

231 S Andover Rd
Andover, KS 67002
Phone (316) 733-9355

1021 Fleming St
Garden City, KS 67846
Phone (620) 277-2010

1805 E 17th Ave
Hutchinson, KS 67501
Phone (620) 615-7197

527 W 6th St
Junction City, KS 66441
Phone (785) 530-5823

445 W 15th St
Liberal, KS 67901
Phone (620) 417-9012

411 W Grand Ave
Chickasha, OK 73018
Phone (405) 224-0053

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

701 Cedar Lake Blvd
Ste 120
Oklahoma City, OK 73114
Phone (405) 286-1170

1303 N Washington St
Weatherford, OK 73096
Phone (580) 772-2820

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1245232255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 CEDAR LAKE BLVD STE 120",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731147815",
            "telephone_number": "405-445-1210",
            "fax_number": "580-203-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 N WASHINGTON ST",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730962443",
            "telephone_number": "580-772-2820",
            "fax_number": "580-772-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABEAL",
        "first_name": "TAMARA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2024-05-17",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0059923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200013320A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, OK

Sources for this page

Verify at the official NPI Registry.