Individual provider Active NPI

Yim Lae Graner

  • Registered Nurse
  • Clive, IA
National Provider Identifier
1144135617
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
64836 Issued in NE
Practice address
1401 Campus Dr
Clive, IA 50325-6500
Phone
(866) 564-3589
NPI assigned
Aug 18, 2026
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 64836 NE Primary

Addresses

Primary practice location

1401 Campus Dr
Clive, IA 50325-6500

Mailing address

17081 Weir St
17081 Weir St
Omaha, NE 68135-1431
Phone (402) 598-6919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1144135617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17081 WEIR ST",
            "address_2": "17081 WEIR ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681351431",
            "telephone_number": "402-598-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CAMPUS DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503256500",
            "telephone_number": "866-564-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANER",
        "first_name": "YIM",
        "middle_name": "LAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "64836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.