Krista Gravatt LMSW, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KRISTA GRAVATT LMSW, LLC

Practice address

455 E Eisenhower Pkwy Ste 30
Ann Arbor, MI 48108-3304

Phone

(734) 585-7086

NPI assigned

Feb 20, 2019

Last updated

Feb 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Krista Gravatt, LMSWNPI 1518454982

Title

Owner/Operator

Phone

(734) 634-8366

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krista Gravatt, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1518454982
  NPD Authorized official

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1326504804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E EISENHOWER PKWY STE 30",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083304",
            "telephone_number": "734-585-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E EISENHOWER PKWY STE 30",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083304",
            "telephone_number": "734-585-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTA GRAVATT LMSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "GRAVATT",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "734-634-8366",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Krischak, MD
• Suprita Rasika Krishna, MBBS
• Jasmine Krishnan, OTRL, CHT
• Shashikala Krishnan, D.D.S.
• Ramachandra Meera Krishnashastry, M.D
• Kristen Miner, LLC (Kristen Salvatore, LMSW)
• Kristie Wyler Therapy PLLC
• Kristin Blackburn LMSW PLLC
• Kristin F. Nickodemus, DDS, PLC
• Kristin Kunes MSW, LLC

• Community/Behavioral Health Agency in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.