Active NPI
Dawn R Beals, ARNP
- Nurse Practitioner
- Richland, WA
National Provider Identifier
1699865105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30007547
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500653648 | Medicaid | OR | |
| 169865105 | Medicaid | WA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AP30007547 | WA | MD | Nurse 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.