Lisa D Graves, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN137513 NP Issued in GA

Practice address

2405 Osler CT
Albany, GA 31707-0214

Phone

(229) 435-1458

Fax

(229) 317-2342

NPI assigned

Sep 21, 2006

Last updated

Jan 5, 2010By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: lisa.graves@crispregional.gadirect.net

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1063511574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 OSLER CT",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317070214",
            "telephone_number": "229-435-1458",
            "fax_number": "229-317-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 OSLER CT",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317070214",
            "telephone_number": "229-435-1458",
            "fax_number": "229-317-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "LISA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN137513  NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000782779F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jessica Moreen Grant, MD
• John R Grant, M.D.
• Shebrekia Patrikia Grant, FNP-C
• Dana Gray, BS
• Greater Chance Services, LLC
• Greater Grace Private Care LLC
• Greater Laboratory LLC
• Amanda Sue Green, DC

• Nurse Practitioner in Albany, GA
• Providers in Albany, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.