Active NPI
Beverly Draudt, RN, CNM, WHNP
- Registered Nurse
- Ukiah, CA
National Provider Identifier
1851460307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN459726
- Practice address
- 1050 N State St
Ukiah, CA 95482-3414 - Phone
- (707) 463-8000
- Fax
- (707) 462-1111
- NPI assigned
- Nov 7, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN459726 | CA | Primary |
| Midwife | 176B00000X | CNM1219 | CA |
Addresses
Primary practice location
1050 N State St
Ukiah, CA 95482-3414
Mailing address
P.O. Box 2739
Ukiah, CA 95482
Phone (707) 463-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN459726 | CA | MD | Registered Nurse |
| CNM1219 | CA | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ukiah Adventist Hospital | Current | Accepting new patients | |
| Willits Hospital Inc. | Current | Accepting new patients |
Locations
1050 N State St
Ukiah, CA 95482
Phone (707) 463-7488
1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Willits, CA
- NPI 1356339543
-
- Community/Retail Pharmacy
- Willits, CA
- NPI 1629432968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1851460307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 2739",
"city": "UKIAH",
"state": "CA",
"postal_code": "95482",
"telephone_number": "707-463-8000",
"fax_number": "707-462-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 N STATE ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954823414",
"telephone_number": "707-463-8000",
"fax_number": "707-462-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAUDT",
"first_name": "BEVERLY",
"credential": "RN, CNM, WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN459726",
"primary": true
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "CNM1219",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.