Active NPI
Grace Beyer-Dich
- Registered Nurse
- Germantown, WI
National Provider Identifier
1407345655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 232789
- Practice address
- N107W14215 White Pine CT
Germantown, WI 53022-6209 - Phone
- (414) 870-3215
- NPI assigned
- May 3, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 232789 | WI | Primary |
Addresses
Primary practice location
N107W14215 White Pine CT
Germantown, WI 53022-6209
Mailing address
1220 N 13TH Ave
West Bend, WI 53090-1704
Phone (262) 689-7893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232789 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525305600000",
"number": "1407345655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 N 13TH AVE",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530901704",
"telephone_number": "262-689-7893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N107W14215 WHITE PINE CT",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530226209",
"telephone_number": "414-870-3215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEYER-DICH",
"first_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-03",
"last_updated": "2018-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "232789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.