Angeleen Marie Graves, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61594733 Issued in WA

Practice address

16935 W Charles Rd
Nine Mile Falls, WA 99026-9749

Phone

(406) 871-1504

NPI assigned

Nov 13, 2024

Last updated

Nov 13, 2024By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1174347546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16935 W CHARLES RD",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990269749",
            "telephone_number": "406-871-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16935 W CHARLES RD",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990269749",
            "telephone_number": "406-871-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "ANGELEEN",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61594733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeleine R Everett, DDS
• Kristen Fuller
• Jessica Garcia
• Stephanie Gladden
• June S Goldman, M.D.
• Greater Spokane Therapies
• Angelica R Hulett, BSK, DPT
• Jodi Johnson-Katz, PTA
• Jessica Kaluza, LMHC
• Nuala Kelly, LMT

• Family Nurse Practitioner in Nine Mile Falls, WA
• Providers in Nine Mile Falls, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.