Nadia Elaine Grayfer

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61398453 Issued in WA

Practice address

321 125TH PL SE
Everett, WA 98208-6417

Phone

(206) 302-8514

NPI assigned

Mar 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nadezhda Petrovna Villalongo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1427706217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 125TH PL SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086417",
            "telephone_number": "206-302-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 125TH PL SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086417",
            "telephone_number": "206-302-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYFER",
        "first_name": "NADIA",
        "middle_name": "ELAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61398453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADEZHDA",
            "last_name": "VILLALONGO",
            "middle_name": "PETROVNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jaimee Gray, RN
• Kaitlin Sue Gray
• Nicholas K Gray
• Sherilyn NG Gray, DPT
• Randy R. Graybeal, CRNA
• Carlos Lamore Green, MD
• Chris Green, MA
• Christy Green, OT
• Gabrielle May Green
• Jeffry Alan Green, OD

• Family Nurse Practitioner in Everett, WA
• Providers in Everett, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.