Cherry Elizabeth Graves, FNP-C, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

R866332 Issued in MS

Practice address

14231 Seaway Rd
Suite 3004
Gulfport, MS 39503-4628

Phone

(228) 206-1905

Fax

(228) 206-1917

NPI assigned

May 22, 2007

Last updated

Feb 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AAFBCA

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.

• New Wave Internal Medicine Clinic, PLLC

  • Specialist
  • Ocean Springs, MS
  • NPI 1891138509
  Medicare reassignment NPD
• Premier Women's Health, PLLC

  dba Premier Women's Health

  • Specialist
  • Gulfport, MS
  • NPI 1700214426
  Medicare reassignment NPD
• Memorial Hospital at Gulfport

  • Urology Physician
  • Gulfport, MS
  • NPI 1093142598
  Medicare reassignment
• Lydia Latour, MD., PLLC

  • Internal Medicine Physician
  • Ocean Springs, MS
  • NPI 1972050367
  NPD
• Memorial Hospital at Gulfport

  • General Acute Care Hospital
  • Gulfport, MS
  • NPI 1073606901
  NPD
• Memorial Hospital at Gulfport

  dba Memorial Surgery Center Cedar Lake

  • General Acute Care Hospital
  • Biloxi, MS
  • NPI 1215546635
  NPD

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1033328471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14231 SEAWAY RD",
            "address_2": "SUITE 3004",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034628",
            "telephone_number": "228-206-1905",
            "fax_number": "228-206-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14231 SEAWAY RD",
            "address_2": "SUITE 3004",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034628",
            "telephone_number": "228-206-1905",
            "fax_number": "228-206-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "CHERRY",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R866332",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MS",
            "license": "R866332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "12195088",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE NUMBER",
            "identifier": "R866332",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle L Graham, CFNP
• Ronald Arly Graham, MD
• Jeanette Gramm
• Kayce Michele Granger
• Wyatt Graupe, LMT
• Fraxine Graves, IDD WAIVER SERVICES
• Thomas L Graves, M.D.
• Tina Marie Graves, MSW,LCSW,LMFT
• Shanita Grayer
• Graystone Group LLC

• Women's Health Nurse Practitioner in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Women's Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.

Verify at the official NPI Registry.