Active NPI
Lindsey M Grabner, ARNP
- Pediatric Nurse Practitioner
- Richland, WA
National Provider Identifier
1629238324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP60100023
- Practice address
- 888 Swift Blvd.
Richland, WA 99352 - Phone
- (509) 946-4611
- Fax
- (509) 942-2887
- NPI assigned
- Jun 16, 2008
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP60100023 | WA | Primary |
Addresses
Primary practice location
888 Swift Blvd.
Richland, WA 99352
Mailing address
3900 S Zintel Way
Kennewick, WA 99337-5092
Phone (509) 942-3627
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025904 | Other | WV | KRMC L&I GROUP NUMBER |
| 1629238324 | Medicaid | WA |
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 |
|---|---|---|---|
| AP60100023 | WA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1629238324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 S ZINTEL WAY",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993375092",
"telephone_number": "509-942-3627",
"fax_number": "509-942-2268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 SWIFT BLVD.",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99352",
"telephone_number": "509-946-4611",
"fax_number": "509-942-2887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRABNER",
"first_name": "LINDSEY",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-16",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WA",
"license": "AP60100023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KRMC L&I GROUP NUMBER",
"identifier": "025904",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629238324",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.