Graciana Marie Martin

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

11652 W Grand River Ave
Lowell, MI 49331-8465

Phone

(616) 302-0169

NPI assigned

Jul 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Graciana Rietema Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1003540105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11652 W GRAND RIVER AVE",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493318465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11652 W GRAND RIVER AVE",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493318465",
            "telephone_number": "616-302-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GRACIANA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grietema@teampbs.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1935 Woodrun Dr SE",
            "city": "Lowell",
            "state": "MI",
            "country_code": "US",
            "postal_code": "49331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GRACIANA",
            "last_name": "RIETEMA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bethany Mangan, LMSW
• Michael Mankowski
• Maple Ridge Manor of Lowell
• Machaela R Marquez, MT-BC
• Martin D Vredenburg DDS PC
• Martino Health & Wellness
• Erica Dawn Martino, LPC, CFI, CFTS
• Samantha Rose Massaro
• MBH ABA Therapy PLLC
• Jessica McCane, DMD

• All providers in Lowell, MI
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.