J A Graver, PEER SPECIALIST

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1101 Andover Park W Ste 107
Tukwila, WA 98188-3911

Phone

(360) 819-3421

NPI assigned

Feb 28, 2023

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1457050536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 ANDOVER PARK W STE 107",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883911",
            "telephone_number": "360-819-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 ANDOVER PARK W STE 107",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883911",
            "telephone_number": "360-819-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVER",
        "first_name": "J",
        "middle_name": "A",
        "credential": "PEER SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Gordon
• Nathan Gordon, SUDPT
• Regina Renee Gore-Newman
• Catalina S. Gorman
• Linda Marie Graddon, RPH
• Louis Morris Graves, AAC, CDPT
• Maureen Graves, CNM, ARNP
• Shamaure Green
• Thomas Green Jr., MSW, MHP
• Julie Anne Greene, SUDP

• Peer Specialist in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.