Terumi Degraw, MPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1105751 Issued in NE

Practice address

1715 S 26TH St
Lincoln, NE 68502-3061

Phone

(402) 430-6040

NPI assigned

Jun 2, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1338595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338595200000",
    "number": "1548521933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 S 26TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 S 26TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023061",
            "telephone_number": "402-430-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAW",
        "first_name": "TERUMI",
        "name_prefix": "Ms.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-02",
        "last_updated": "2012-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1105751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Marie Degenhardt
• Michael Ray Degenhardt
• Judith Kay Degraff, M.D.
• Charles Degrave
• Nathan Charles Degrave
• Ryan D Dehaan, M.D.
• Alexander Jacob Dehaas
• Elena Katherine Dehaas
• Laura Jeanne Deines
• Dezerae Christine Deis, D.C.

• Physician Assistant in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2012; 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.