Devon Graves, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

11604 W Newkirk Rd
Spokane, WA 99224-8909

Phone

(509) 247-4494

NPI assigned

May 12, 2019

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1557619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1487210878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11604 W NEWKIRK RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992248909",
            "telephone_number": "509-247-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11604 W NEWKIRK RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992248909",
            "telephone_number": "509-247-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "DEVON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-12",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Granum, LMHCA
• Grassroots of Spokane LLC
• Grassroots Therapy Group LLC
• Bret Wayne Gravatt, RPH
• David Lyle Graves, N.D.
• Gordon James Graves, VOC REHAB SPECIALIST
• Jill Graves, LMP
• Laura Graves, DNP
• Peter W Graves, MD
• Gravida Psychiatry LLC

• Medical Physician Assistant in Spokane, WA
• Providers in Spokane, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.