Leena M Graves

Primary specialty

ContractorTaxonomy code 171W00000X

License

MAT-5368 Issued in HI

Practice address

4590 Hana Highway
Hana, HI 96713

Phone

(808) 248-7515

Fax

(808) 248-7223

NPI assigned

Sep 25, 2008

Last updated

Sep 25, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9596/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hana Health

  • Family Medicine Physician
  • Hana, HI
  • NPI 1992728828
  NPD (past)
• Hana Health

  • Federally Qualified Health Center (FQHC)
  • Hana, HI
  • NPI 1992811954
  NPD (past)

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1548410699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 807",
            "city": "HANA",
            "state": "HI",
            "postal_code": "967130807",
            "telephone_number": "808-248-7515",
            "fax_number": "808-248-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 HANA HIGHWAY",
            "city": "HANA",
            "state": "HI",
            "postal_code": "96713",
            "telephone_number": "808-248-7515",
            "fax_number": "808-248-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "LEENA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "HI",
            "license": "MAT-5368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII LICENSE",
            "identifier": "MAT-5368",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• B G C Corporation
• Curtis Bekkum, M.D.
• Dept. of Health-Hawaii-Child and Adolescent Mental Health Division
• Dolores Soler-Bergau LLC
• East Maui Medical Clinic, LLP (Pueo Family Medicine)
• Hana Health
• Hana Health
• Clare Joslin, L.AC.
• Paul Adam Kaiwi Jr., M.D.
• Robert W Leonard, DDS

• Contractor in Hana, HI
• Providers in Hana, HI by specialty
• Contractor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.