Gravil Joseph, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

9359865 Issued in FL

Practice address

10515 SW 24TH St
Miramar, FL 33025-3996

Phone

(305) 767-0887

NPI assigned

Feb 3, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gravil.joseph.2@31126.direct.athenahealth.com
• Direct secure messaging: gravil.joseph@374.emedpractice.direct-ci.com

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.

• Alina Community Center at Mount Dora LLC

  • Family Medicine Physician
  • Mount Dora, FL
  • NPI 1811550346

  FL, Multi-Specialty

  Medicare reassignment NPD Authorized official
• Alina Health Medical Center Corp.

  • Family Medicine Physician
  • Lauderdale Lakes, FL
  • NPI 1144975418

  FL

  Medicare reassignment Authorized official
• David Lawrence Mental Health Center, Inc

  • Community/Behavioral Health Agency
  • Naples, FL
  • NPI 1801891940

  FL, Multi-Specialty

  Medicare reassignment NPD
• Hni Medical Services of Florida, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1679048284

  FL, Multi-Specialty

  Medicare reassignment NPD
• Key West Hma Physician Management, LLC

  • Internal Medicine Physician
  • Cudjoe Key, FL
  • NPI 1871548651

  FL, Multi-Specialty

  Medicare reassignment NPD
• Alina Community Center at Mount Dora LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Dora, FL
  • NPI 1841801842

  Multi-Specialty

  NPD Authorized official
• Alina Health Medical Center Corp.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lauderdale Lakes, FL
  • NPI 1194459297
  NPD Authorized official
• Key West Hma Physician Management LLC

  • Orthopaedic Surgery Physician
  • Key West, FL
  • NPI 1346548229

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1164960720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 SW 24TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253996",
            "telephone_number": "305-767-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 SW 24TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253996",
            "telephone_number": "305-767-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "GRAVIL",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-03",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60792299",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AZ",
            "license": "AP11258",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9359865",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9359865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelldyne Paola Joseph-Vassor, LCSW
• Angie Yana Joseph
• Berlande Joseph
• Feemure Joseph
• Gousman Joseph
• Kanisha Lacoya Joseph, NREMT
• Lovelie Joseph, RRT
• Marley Joseph, ARNP
• Medjine Joseph
• Ronald Joseph, PHARM.D.

• All providers in Miramar, FL
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.