Graves and Associates LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

GRAVES AND ASSOCIATES LLC

Practice address

2020 E Grand Ave Ste 429
Laramie, WY 82070-4380

Phone

(307) 761-3489

NPI assigned

May 24, 2018

Organization subpart

No

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

Authorized official

Name

Wayne Graves, LCSWNPI 1730235300

Title

Owner

Phone

(307) 761-3489

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wayne Graves, LCSW

  • Clinical Social Worker
  • Laramie, WY
  • NPI 1730235300
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1235620204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 FOOTHILLS ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E GRAND AVE STE 429",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704380",
            "telephone_number": "307-761-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAVES AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-761-3489",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Avenue Urgent Care, LLC
• Carl Granderson
• Kylie Graney, DDS
• Shanae Grant
• Kevin Grauberger
• Wayne Graves, LCSW
• Breanna Gray
• Judith Renee Gray, OT
• John Green-Shumway
• Sarah Stephan Green, LCSW

• Multi-Specialty Clinic/Center in Laramie, WY
• Providers in Laramie, WY by specialty
• Multi-Specialty Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.