Individual provider Active NPI

Stephanie Nicole Graves, FNP-C

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1063925139
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23503 Issued in TN
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

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180202001568 TN Practitioner - Nurse Practitioner 5395005797 Reassigns benefits to 1 organization

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
First Choice Urgent Care LLCGroup PAC ID 2466623558, 4 clinicians

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

LicenseStateTypeSpecialty
23503TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Urgent Care LLC CurrentSince Oct 1, 2024 Accepting new patients
Saint Francis Physician Network, LLC CurrentSince Jul 1, 2019 Accepting new patients
First Choice Wellness PLLC CurrentSince Jun 16, 2026 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.