Individual provider Active NPI

Graci B Chevez, PA-C

  • Medical Physician Assistant
  • Miami Beach, FL
National Provider Identifier
1356560734
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9103600 Issued in FL
Practice address
777 Arthur Godfrey Rd
Suite 300
Miami Beach, FL 33140-3449
Phone
(786) 497-4660
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9103600 FL Primary

Addresses

Primary practice location

777 Arthur Godfrey Rd
Suite 300
Miami Beach, FL 33140-3449

Mailing address

3731 N Country Club Dr
Unit 526
Aventura, FL 33180-1733
Phone (305) 302-1700

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA9103600FLMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: graci.chevez@3879.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356560734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 N COUNTRY CLUB DR",
            "address_2": "UNIT 526",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801733",
            "telephone_number": "305-302-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 ARTHUR GODFREY RD",
            "address_2": "SUITE 300",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403449",
            "telephone_number": "786-497-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEVEZ",
        "first_name": "GRACI",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.