Individual provider Active NPI

Dawn McGrade, FNP

  • Primary Care Nurse Practitioner
  • Auburn, IN
National Provider Identifier
1861127755
Registry record updated Jul 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
28155838A Issued in IN
Practice address
1300 Duesenberg Dr
Auburn, IN 46706-3233
Phone
(260) 235-1336
NPI assigned
Jul 23, 2022
Last updated
Jul 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 28155838A IN Primary
Registered Nurse 163W00000X 28155838A IN

Addresses

Primary practice location

1300 Duesenberg Dr
Auburn, IN 46706-3233

Mailing address

1300 Duesenberg Dr
Auburn, IN 46706-3233
Phone (260) 235-1336

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL dawnmcgrade@yahoo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230117002742 IN Practitioner - Nurse Practitioner 5496126146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28155838AINMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1658534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658534400000",
    "number": "1861127755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 DUESENBERG DR",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467063233",
            "telephone_number": "260-235-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 DUESENBERG DR",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467063233",
            "telephone_number": "260-235-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRADE",
        "first_name": "DAWN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-23",
        "last_updated": "2022-07-23",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "28155838A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28155838A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dawnmcgrade@yahoo.com",
            "affiliation": "N",
            "address_1": "1300 Duesenberg Dr",
            "city": "Auburn",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467063233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn, IN

Sources for this page

Verify at the official NPI Registry.