Individual provider Active NPI

Dawn R Beals, ARNP

  • Nurse Practitioner
  • Richland, WA
National Provider Identifier
1699865105
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP30007547 Issued in WA
Practice address
1100 Goethals Drive
1St Floor
Richland, WA 99352-3304
Phone
(509) 942-3080
Fax
(509) 942-3085
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinical Nurse Specialist 364SR0400X AP30007547 WA
Nurse Practitioner 363L00000X AP30007547 WA Primary

Addresses

Primary practice location

1100 Goethals Drive
1St Floor
Richland, WA 99352-3304

Mailing address

4804 W Clearwater Ave
Kennewick, WA 99336-2119
Phone (509) 942-2355

Other practice location 1

9605 Sandifur Pkwy
Pasco, WA 99301-8028
Phone (509) 942-2355

Other practice location 2

4804 W Clearwater Ave
Kennewick, WA 99336-2119
Phone (509) 942-2355

Other identifiers 2

IdentifierTypeStateIssuer
500653648MedicaidOR
169865105MedicaidWA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dbeals1106942@wm.providencedirect.org Direct
Direct Messaging Address dbeals1106942@wm.providencedirect.org Direct

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP30007547WAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1699865105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 W CLEARWATER AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362119",
            "telephone_number": "509-942-2355",
            "fax_number": "509-222-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GOETHALS DRIVE",
            "address_2": "1ST FLOOR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523304",
            "telephone_number": "509-942-3080",
            "fax_number": "509-942-3085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9605 Sandifur Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993018028",
            "country_code": "US",
            "telephone_number": "509-942-2355",
            "fax_number": "509-222-1289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4804 W Clearwater Ave",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993362119",
            "country_code": "US",
            "telephone_number": "509-942-2355",
            "fax_number": "509-222-1289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEALS",
        "first_name": "DAWN",
        "middle_name": "R",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SR0400X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Rehabilitation",
            "state": "WA",
            "license": "AP30007547",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30007547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500653648",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169865105",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbeals1106942@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9605 Sandifur Pkwy",
            "city": "Pasco",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993018028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbeals1106942@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4804 W Clearwater Ave",
            "city": "Kennewick",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993362119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 16, 2021; 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.