Patricia S Graves, NURSE PRACTIONER

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

117351 Issued in OH

Practice address

55 Dillmont Dr
Ste 100
Columbus, OH 43235-6458

Phone

(614) 839-3040

Fax

(614) 839-3041

NPI assigned

Jun 5, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1235331703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 DILLMONT DR",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432356458",
            "telephone_number": "614-839-3040",
            "fax_number": "614-839-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 DILLMONT DR",
            "address_2": "STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432356458",
            "telephone_number": "614-839-3040",
            "fax_number": "614-839-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "PATRICIA",
        "middle_name": "S",
        "credential": "NURSE PRACTIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "117351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044488",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keandre Graves
• Kelly Graves
• Kennedy Alise Graves
• Logan Graves
• Margaret Graves
• Sherae Graves, RN
• Sherwyn Nathaniel Graves, R.PH., MBA
• Stephen Graves, MD
• Gravity Wellness LLC
• Gray Performance Therapy

• Pediatric Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.