Gordon James Graves, VOC REHAB SPECIALIST

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

504 E 2ND Ave
Spokane, WA 99202-1406

Phone

(509) 462-2500

Fax

(509) 462-2503

NPI assigned

Jun 22, 2021

Sex

Male

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

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1427627520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 N FOX POINT DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084224",
            "telephone_number": "509-405-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E 2ND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021406",
            "telephone_number": "509-462-2500",
            "fax_number": "509-462-2503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6820 N Fox Point Dr",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992084224",
            "country_code": "US",
            "telephone_number": "509-405-1784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "GORDON",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "VOC REHAB SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grassroots of Spokane LLC
• Grassroots Therapy Group LLC
• Bret Wayne Gravatt, RPH
• David Lyle Graves, N.D.
• Devon Graves, PA-C
• Jill Graves, LMP
• Laura Graves, DNP
• Peter W Graves, MD
• Gravida Psychiatry LLC
• Antoine Gray, LMSW

• Case Manager/Care Coordinator in Spokane, WA
• Providers in Spokane, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.