Individual provider Active NPI

Kathryn Michelle Graves, ARNP

  • Family Nurse Practitioner
  • Oviedo, FL
National Provider Identifier
1124261524
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2092072 Issued in FL
Practice address
6012 Aloma Woods Blvd
Oviedo, FL 32765-9786
Phone
(407) 366-7455
Fax
(407) 359-8410
NPI assigned
Apr 14, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 ARNP2092072 FL Primary

Addresses

Primary practice location

6012 Aloma Woods Blvd
Oviedo, FL 32765-9786

Mailing address

6012 Aloma Woods Blvd
Oviedo, FL 32765-9786
Phone (407) 366-7455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140529001067 FL Practitioner - Nurse Practitioner 0840413423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Oviedo Family Health Center PAGroup PAC ID 8527191410, 4 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

6012 Aloma Woods Blvd
Oviedo, FL 32765-9786
Phone (407) 366-7455

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oviedo Family Health Center PA CurrentSince Mar 15, 2014 Accepting new patients

Locations

6012 Aloma Woods Blvd
Oviedo, FL 32765
Phone (407) 366-2612

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAJICA/Endpoint/GAJICA
  • Direct secure messaging: kathryn.graves@oviedofhc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GAJICA

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124261524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 ALOMA WOODS BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659786",
            "telephone_number": "407-366-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 ALOMA WOODS BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659786",
            "telephone_number": "407-366-7455",
            "fax_number": "407-359-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "KATHRYN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2092072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.