Individual provider Active NPI

Leanne M Grauerholz, ARNP-C

  • Nurse Practitioner
  • Salina, KS
National Provider Identifier
1508019928
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
44606 Issued in KS
Practice address
501 S Santa Fe Ave
Suite 300
Salina, KS 67401-4189
Phone
(785) 452-4930
Fax
(785) 452-4932
NPI assigned
Oct 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 44606 KS Primary

Addresses

Primary practice location

501 S Santa Fe Ave
Suite 300
Salina, KS 67401-4189

Mailing address

501 S Santa Fe Ave
Suite 300
Salina, KS 67401-4189
Phone (785) 452-4930

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
44606KSMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1508019928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S SANTA FE AVE",
            "address_2": "SUITE 300",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014189",
            "telephone_number": "785-452-4930",
            "fax_number": "785-452-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SANTA FE AVE",
            "address_2": "SUITE 300",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014189",
            "telephone_number": "785-452-4930",
            "fax_number": "785-452-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAUERHOLZ",
        "first_name": "LEANNE",
        "middle_name": "M",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "44606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.