Adam Graves

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP130442 Issued in TX

Practice address

1900 SE 34TH Avenue Unit 1800
Amarillo, TX 79118-5555

Phone

(806) 351-7540

Fax

(806) 351-7546

NPI assigned

Jan 4, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Northwest Texas Wyatt Clinic PLLC

  • Internal Medicine Physician
  • Amarillo, TX
  • NPI 1780008904

  Nurse Practitioner

  Medicare reassignment NPD
• Northwest Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Amarillo, TX
  • NPI 1225449036

  Nurse Practitioner

  Medicare reassignment NPD
• Northwest Texas Healthcare System Inc

  • Other Specialist/Technologist
  • Amarillo, TX
  • NPI 1154347987
  NPD (past)

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1154787398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 US HWY 75 S,SUITE 300",
            "address_2": "ATTN. BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "806-351-7600",
            "fax_number": "806-351-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SE 34TH AVENUE UNIT 1800",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791185555",
            "telephone_number": "806-351-7540",
            "fax_number": "806-351-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 E Amarillo Blvd",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791075555",
            "country_code": "US",
            "telephone_number": "806-351-7200",
            "fax_number": "806-351-7274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-04",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "808631",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP130442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarai Granados, M.S., CCC-SLP
• Grand Medical Clinic
• Constance Sue Grant I, COTA
• Miles W Grant, MD
• Ruth Elizabeth Grant, MD
• Amanda Graves, M.S. CCC-SLP, CLC
• Jerra Graves
• William Edward Graves II, D.M.D.
• Stephanie Grawunder
• Brylee Gray

• Nurse Practitioner in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.