Jere Mapuana Graham, APRN-BC RX

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

APRN257 Issued in HI

Practice address

4520 Akia Rd Ste a
Kapaa, HI 96746-1615

Phone

(808) 651-6779

Fax

(808) 821-1670

NPI assigned

Sep 11, 2007

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

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1447445549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6181 A KAWAIHAU RD.",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967462613",
            "telephone_number": "808-651-6777",
            "fax_number": "808-821-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 AKIA RD STE A",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461615",
            "telephone_number": "808-651-6779",
            "fax_number": "808-821-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JERE",
        "middle_name": "MAPUANA",
        "name_prefix": "Ms.",
        "credential": "APRN-BC RX",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "HI",
            "license": "APRN257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chauncey Giraldi, MSW
• Alana R. Goo-Frazier, NP-C
• Kaimana Mew Lung Goo-Rahtz, DMD, MPH
• Richard M. Goodale, M.D.
• Richard Gore
• Marquita Granda, MSN, FNP-C, PMHNP-BC
• Romeo Randon Guerpo Jr., DPT, PT
• Diane K Guidici, MFT, MIN.
• Amanda Michele Gutierrez, DPT
• Pineda Guzman

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Kapaa, HI
• Providers in Kapaa, HI by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.

Verify at the official NPI Registry.