Individual provider Active NPI

Dianne R Grafentin-Beedle, APRN-BC

  • Family Nurse Practitioner
  • Raymore, MO
National Provider Identifier
1376517029
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
154777 Issued in MO
Practice address
402 W Pine St
Ste. K
Raymore, MO 64083-9075
Phone
(816) 322-0701
Fax
(816) 322-2035
NPI assigned
Feb 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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 154777 MO Primary

Addresses

Primary practice location

402 W Pine St
Ste. K
Raymore, MO 64083-9075

Mailing address

PO Box 52
Raymore, MO 64083-0052
Phone (816) 322-0701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20190909004092 KS Practitioner - Nurse Practitioner 9335434638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1376517029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640830052",
            "telephone_number": "816-322-0701",
            "fax_number": "816-322-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W PINE ST",
            "address_2": "STE. K",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839075",
            "telephone_number": "816-322-0701",
            "fax_number": "816-322-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAFENTIN-BEEDLE",
        "first_name": "DIANNE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "154777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymore, MO

Sources for this page

Verify at the official NPI Registry.