Individual provider Active NPI

Jill E Graves, ARNP-C

  • Family Nurse Practitioner
  • Kennewick, WA
National Provider Identifier
1477896397
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP 60342794 Issued in WA
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

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131004000370 WA Practitioner - Nurse Practitioner 0345474318 Reassigns benefits to 1 organization

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
Community Health CareGroup PAC ID 1850201559, 72 clinicians

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

LicenseStateTypeSpecialty
AP 60342794WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care CurrentSince Oct 6, 2025 Accepting new patients
Community Health Care CurrentSince Oct 6, 2025 Accepting new patients
Kendal Rae Piatt, OD, PC PastSince Aug 1, 2004 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEDCAA
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.