Active NPI
Kristen Marie Graziano, FMPHNP
- Psychiatric/Mental Health Nurse Practitioner
- Bridgeville, PA
National Provider Identifier
1427480771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP013043
- Practice address
- 300 Old Pond Rd
Suite 201
Bridgeville, PA 15017-1270 - Phone
- (412) 220-7323
- NPI assigned
- Aug 8, 2013
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN608338 | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP013043 | PA | Primary |
Addresses
Primary practice location
300 Old Pond Rd
Suite 201
Bridgeville, PA 15017-1270
Mailing address
300 Old Pond Rd
Suite 201
Bridgeville, PA 15017-1270
Phone (412) 220-7323
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN608338 | Other | PA | REGISTERED NURSE LICENSE |
| SP013043 | Other | PA | CRNP LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN608338 | PA | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ravi Kant, MD PC | Current | Accepting new patients | |
| Ravi Kant, MD PC | Past | Accepting new patients |
Locations
300 Old Pond Rd
Ste 201
Bridgeville, PA 15017
Phone (412) 220-7323
Organizations & group practices 2
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": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1427480771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 OLD POND RD",
"address_2": "SUITE 201",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150171270",
"telephone_number": "412-220-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 OLD POND RD",
"address_2": "SUITE 201",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150171270",
"telephone_number": "412-220-7323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAZIANO",
"first_name": "KRISTEN",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "FMPHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "PA",
"license": "RN608338",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP013043",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LICENSE",
"identifier": "RN608338",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNP LICENSE NUMBER",
"identifier": "SP013043",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.