Organization Active NPI

Keyna Graham-Heine, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, WA
National Provider Identifier
1093601015
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
KEYNA GRAHAM-HEINE, PLLC
Practice address
9116 Gravelly Lake Dr SW Ste 107
Lakewood, WA 98499-3148
Phone
(253) 364-6054
Fax
(833) 764-4009
NPI assigned
Jun 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Keyna Graham-Heine, ARNP, PMHNP-BCNPI 1841796604
Title
Owner, Member
Phone
(253) 364-6054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

9116 Gravelly Lake Dr SW Ste 107
Lakewood, WA 98499-3148

Mailing address

9116 Gravelly Lake Dr SW Ste 107
Lakewood, WA 98499-3148
Phone (253) 364-6054

Other names 1

  • The Graham Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260109001293 WA Part B Supplier - Clinic/Group Practice 6709362734 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1093601015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9116 GRAVELLY LAKE DR SW STE 107",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993148",
            "telephone_number": "253-364-6054",
            "fax_number": "833-764-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9116 GRAVELLY LAKE DR SW STE 107",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993148",
            "telephone_number": "253-364-6054",
            "fax_number": "833-764-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYNA GRAHAM-HEINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "GRAHAM-HEINE",
        "authorized_official_first_name": "KEYNA",
        "authorized_official_title_or_position": "OWNER, MEMBER",
        "authorized_official_telephone_number": "253-364-6054",
        "authorized_official_credential": "ARNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Graham Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.