Active NPI
Laura Jane Graybeal, M.D
- Internal Medicine Physician
- Beckley, WV
National Provider Identifier
1447241468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20972
- Practice address
- 921 W Neville St
Suite 200
Beckley, WV 25801-4360 - Phone
- (304) 254-8346
- Fax
- (304) 254-8348
- NPI assigned
- Oct 31, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20972 | WV | Primary |
| Phlebology Physician | 202K00000X | 20972 | WV |
Addresses
Primary practice location
921 W Neville St
Suite 200
Beckley, WV 25801-4360
Mailing address
921 W Neville St
Suite 200
Beckley, WV 25801-4360
Phone (304) 254-8346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003833000 | Medicaid | WV |
Other names 1
- Dr. Laura Keating
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2023 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20972 | WV | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362355200000",
"number": "1447241468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 W NEVILLE ST",
"address_2": "SUITE 200",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258014360",
"telephone_number": "304-254-8346",
"fax_number": "304-254-8348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 W NEVILLE ST",
"address_2": "SUITE 200",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258014360",
"telephone_number": "304-254-8346",
"fax_number": "304-254-8348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYBEAL",
"first_name": "LAURA",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2013-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "20972",
"primary": true
},
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "WV",
"license": "20972",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2003833000",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "KEATING",
"prefix": "DR.",
"credential": "M.D",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.