Active NPI
Tamara Jo Grabeal, APRN-CNP
- Family Nurse Practitioner
- Weatherford, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R0059923
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200013320A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, KS, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R0059923 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| DCS Medical PA | Current | Accepting new patients | |
| DCS Medical PA | Current | Accepting new patients | |
| Williams Medical Group Practice, LLC | Current | 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.
-
- Rural Health Clinic/Center
- Collinsville, OK
- NPI 1215751508
-
- Rural Health Clinic/Center
- Bonham, TX
- NPI 1063138741
-
- Clinic/Center
- Weatherford, OK
- NPI 1003971581
-
- Rural Health Clinic/Center
- Tulsa, OK
- NPI 1750950580
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.