Kelly K Graff, APRN-CNS

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

58403 Issued in ID

Practice address

1689 E 4000 N
Buhl, ID 83316-5647

Phone

(208) 340-0622

NPI assigned

Sep 7, 2021

Last updated

Sep 7, 2021By 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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Icare Center for Change

  dba iCareTeleCare

  • Addiction (Substance Use Disorder) Psychologist
  • Buhl, ID
  • NPI 1508554940
  NPD Authorized official
• Icare Telecare

  • Health Service Clinic/Center
  • Post Falls, ID
  • NPI 1518640085
  NPD Authorized official

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1326717141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 S CLEARWATER LOOP STE R",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 E 4000 N",
            "city": "BUHL",
            "state": "ID",
            "postal_code": "833165647",
            "telephone_number": "208-340-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAFF",
        "first_name": "KELLY",
        "middle_name": "K",
        "credential": "APRN-CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "ID",
            "license": "58403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Health Services Corporation
• Family Health Services Corporation
• Family Health Services Corporation
• Family Health Services Pharmacy (Family Health Services Buhl Pharmacy)
• Ellouise Gebauer-Atkins, F.N.P.
• Rorri Henstock, L.M.T.
• Michael V Higbee, PHARMD.
• Austin Ivins Higginson, PA-C
• Anna Howard, M.A.
• Icare Center for Change (iCareTeleCare)

• Pediatric Clinical Nurse Specialist in Buhl, ID
• Providers in Buhl, ID by specialty
• Pediatric Clinical Nurse Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.