Tara Marie Graviss, EXPRESSIVE ARTS

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

4661 35TH St
San Diego, CA 92116-3537

Phone

(619) 962-9853

NPI assigned

Dec 13, 2014

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": "1418428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418428800000",
    "number": "1487052007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4661 35TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921163537",
            "telephone_number": "619-962-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4661 35TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921163537",
            "telephone_number": "619-962-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVISS",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "EXPRESSIVE ARTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-13",
        "last_updated": "2014-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer S Graves, MD
• Kyalon Ray Graves
• Marie Antoinette Graves
• Nerissa Janae Graves, RN
• Shaunise Graves
• Constance Louise Gravitt, MBA
• Nathan Gravitz
• Joana Gray Sotelo, APCC
• Gray Whale Marriage and Family Therapy Prof Corp
• Donna D Gray-Grant

• Contractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Contractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2014; 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.