Individual provider Active NPI

Elmire Degraff

  • Home Health Aide
  • Punta Gorda, FL
National Provider Identifier
1194288258
Registry record updated Apr 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
6906953 Issued in FL
Practice address
131 Castile CT
Punta Gorda, FL 33983-5237
Phone
(941) 286-8431
NPI assigned
Apr 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 6906953 FL Primary

Addresses

Primary practice location

131 Castile CT
Punta Gorda, FL 33983-5237

Mailing address

131 Castile CT
Punta Gorda, FL 33983-5237
Phone (941) 286-8431

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

State licenses

LicenseStateTypeSpecialty
6906953FLMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554595200000",
    "number": "1194288258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CASTILE CT",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339835237",
            "telephone_number": "941-286-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CASTILE CT",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339835237",
            "telephone_number": "941-286-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAFF",
        "first_name": "ELMIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-07",
        "last_updated": "2019-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "6906953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2019; 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.