Active NPI
Jill E Graves, ARNP-C
- Family Nurse Practitioner
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP 60342794
- Practice address
- 7131 W Deschutes Ave Ste 101
Kennewick, WA 99336-7801 - Phone
- (509) 222-1260
- Fax
- (509) 222-1264
- NPI assigned
- Mar 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP 60342794 | WA | Primary |
Addresses
Primary practice location
7131 W Deschutes Ave Ste 101
Kennewick, WA 99336-7801
Mailing address
7131 W Deschutes Ave Ste 101
Kennewick, WA 99336-7801
Phone (509) 222-1260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926
Phone (253) 441-4742
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP 60342794 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care | Current | Accepting new patients | |
| Community Health Care | Current | Accepting new patients | |
| Kendal Rae Piatt, OD, PC | Past | Accepting new patients |
Locations
134 188th St S
Spanaway, WA 98387
Phone (253) 847-2304
1202 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 441-4742
1148 Broadway
Ste 100
Tacoma, WA 98402
Phone (253) 441-4742
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEDCAA
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jill.gravesarnp.p1@direct.chc-tacoma.nextgenshare.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Tacoma, WA
- NPI 1790762755
-
- Federally Qualified Health Center (FQHC)
- Puyallup, WA
- NPI 1003515594
-
- Corneal and Contact Management Optometrist
- Kennewick, WA
- NPI 1972725059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1477896397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7131 W DESCHUTES AVE STE 101",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367801",
"telephone_number": "509-222-1260",
"fax_number": "509-222-1264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7131 W DESCHUTES AVE STE 101",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367801",
"telephone_number": "509-222-1260",
"fax_number": "509-222-1264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "JILL",
"middle_name": "E",
"credential": "ARNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-28",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP 60342794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.