Active NPI
Maureen Graves, CNM, ARNP
- Women's Health Nurse Practitioner
- Tukwila, WA
National Provider Identifier
1407898463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP30006815
- Practice address
- 13030 Military Rd S
Suite # 106
Tukwila, WA 98168-3085 - Phone
- (206) 242-0680
- Fax
- (206) 242-0980
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP30006815 | WA | Primary |
| Advanced Practice Midwife | 367A00000X | AP30006815 | WA |
Addresses
Primary practice location
13030 Military Rd S
Suite # 106
Tukwila, WA 98168-3085
Mailing address
PO Box 34936
Dept # 5006
Seattle, WA 98124-1936
Phone (206) 439-2988
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
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30006815 | WA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highline Medical Group Inc | Women'S Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188864000000",
"number": "1407898463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34936",
"address_2": "DEPT # 5006",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241936",
"telephone_number": "206-439-2988",
"fax_number": "206-431-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13030 MILITARY RD S",
"address_2": "SUITE # 106",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981683085",
"telephone_number": "206-242-0680",
"fax_number": "206-242-0980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "MAUREEN",
"credential": "CNM, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2007-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WA",
"license": "AP30006815",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "AP30006815",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.