Individual provider Active NPI

Sheila K Barngrover, ARNP

  • Nurse Practitioner
  • Bettendorf, IA
National Provider Identifier
1861497406
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A099814 Issued in IA
Practice address
1351 Kimberly Rd
Suite 100
Bettendorf, IA 52722-4194
Phone
(563) 355-7733
Fax
(563) 355-9077
NPI assigned
Jun 20, 2005
Last updated
Dec 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209003266 IL
Nurse Practitioner 363L00000X A099814 IA Primary

Addresses

Primary practice location

1351 Kimberly Rd
Suite 100
Bettendorf, IA 52722-4194

Mailing address

1351 Kimberly Rd
Suite 100
Bettendorf, IA 52722-4194
Phone (563) 355-7733

Other identifiers 1

IdentifierTypeStateIssuer
500019247OtherILRAILROAD MEDICARE

Other names 1

  • Sheila K Graybeal Former name

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
A099814IAMDNurse Practitioner
209003266ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RSC Illinois LLC Current Accepting new patients
Resolve Healthcare LLC Nurse Practitioner Current Accepting new patients
State University of Iowa PastSince Jun 15, 2010 Accepting new patients

Locations

3228 N Lincoln Ave
Chicago, IL 60657
Phone (312) 480-1387

545 Valley View Dr
Moline, IL 61265
Phone (309) 277-1180

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1861497406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 KIMBERLY RD",
            "address_2": "SUITE 100",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224194",
            "telephone_number": "563-355-7733",
            "fax_number": "563-355-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 KIMBERLY RD",
            "address_2": "SUITE 100",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224194",
            "telephone_number": "563-355-7733",
            "fax_number": "563-355-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNGROVER",
        "first_name": "SHEILA",
        "middle_name": "K",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209003266",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A099814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500019247",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "GRAYBEAL",
            "middle_name": "K",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.