Jayne Kathryn Graben, CRNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1-122945 Issued in AL

Practice address

3611 Windy RDG
Tuscaloosa, AL 35406-3676

Phone

(205) 344-9028

Fax

(205) 344-9031

NPI assigned

Oct 21, 2014

Last updated

Oct 21, 2014By 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

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Alabama Women's Center Inc.Group PAC ID 1254400930, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/df01cf33-b6d1-4222-ab6f-d5b35ecdd012/
• FHIR API: https://api.platform.athenahealth.com/22293/brand/1/csg/1/fhir/r4

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.

• West Alabama Women's Center Inc.

  • Specialist
  • Tuscaloosa, AL
  • NPI 1811974603
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1104220946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MAIN AVE",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354765057",
            "telephone_number": "205-344-9028",
            "fax_number": "205-344-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 WINDY RDG",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354063676",
            "telephone_number": "205-344-9028",
            "fax_number": "205-344-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABEN",
        "first_name": "JAYNE",
        "middle_name": "KATHRYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-122945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Marie Gordon, CRNP
• Toi Lynn Gordon
• Memorie M Gosa, CCC-SLP, BRS-S
• Barry J Gould, DPM
• Carolina Goyeneche Gomez
• Dantria Grace
• Ramie Amanda Grace, CRNP
• Sara Grady, BCBA
• Jeremy Blake Graham, DPT
• Melanie Dyess Graham, M.D.

• Registered Nurse in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.

Verify at the official NPI Registry.