Active NPI
Stephanie Nicole Graves, FNP-C
- Family Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 23503
- Practice address
- 2996 Kate Bond Rd Ste 305
Memphis, TN 38133-4063 - Phone
- (901) 300-2971
- NPI assigned
- Nov 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 23503 | TN | Primary |
Addresses
Primary practice location
2996 Kate Bond Rd Ste 305
Memphis, TN 38133-4063
Mailing address
P O Box 1000 Dept 960
Memphis, TN 38148-0001
Phone (901) 435-8550
Other practice location 1
1211 Union Ave Ste 965
Memphis, TN 38104-6638
Phone (901) 435-8550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
472 W Poplar Ave
Suite 201
Collierville, TN 38017-2538
Phone (901) 854-5771
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23503 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Urgent Care LLC | Current | Accepting new patients | |
| Saint Francis Physician Network, LLC | Current | Accepting new patients | |
| First Choice Wellness PLLC | Current | Accepting new patients |
Locations
2996 Kate Bond Rd
Ste 305
Bartlett, TN 38133
Phone (901) 300-2971
2996 Kate Bond Rd
Ste 105
Bartlett, TN 38133
Phone (901) 266-4112
472 W Poplar Ave
Ste 201
Collierville, TN 38017
Phone (901) 854-5771
6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205
Interoperability endpoints
- https://api.platform.athenahealth.com/26685/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Collierville, TN
- NPI 1023328978
-
- Primary Care Clinic/Center
- Collierville, TN
- NPI 1275450173
-
- Family Medicine Physician
- Covington, TN
- NPI 1295258002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1063925139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 1000 DEPT 960",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381480001",
"telephone_number": "901-435-8550",
"fax_number": "901-516-0933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2996 KATE BOND RD STE 305",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381334063",
"telephone_number": "901-300-2971"
}
],
"practiceLocations": [
{
"address_1": "1211 Union Ave Ste 965",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381046638",
"country_code": "US",
"telephone_number": "901-435-8550",
"fax_number": "901-516-0933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAVES",
"first_name": "STEPHANIE",
"middle_name": "NICOLE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-13",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "23503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.