Graciela A Aviles

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1156186 Issued in MN

Practice address

8811 Aviary Path
Inver Grove Heights, MN 55077-4446

Phone

(612) 581-3859

Fax

(651) 305-1111

NPI assigned

Mar 28, 2022

Last updated

Mar 28, 2022By the provider in NPPES

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

State licenses

Practice roles

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.

• Greathomemn

  • Assisted Living Facility
  • Inver Grove Heights, MN
  • NPI 1255625737
  NPD (past) Authorized official
• Great Home Aviary

  dba Great Home MN

  • Assisted Living Facility
  • Inver Grove Heights, MN
  • NPI 1699699900
  NPD (past)

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1558011940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 AVIARY PATH",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550774446",
            "telephone_number": "612-581-3859",
            "fax_number": "651-305-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 AVIARY PATH",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550774446",
            "telephone_number": "612-581-3859",
            "fax_number": "651-305-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8668 Alvarado Ct",
            "address_purpose": "LOCATION",
            "city": "Inver Grove Heights",
            "state": "MN",
            "postal_code": "550773121",
            "country_code": "US",
            "telephone_number": "651-454-4661",
            "fax_number": "651-305-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10652 Alison Way",
            "address_purpose": "LOCATION",
            "city": "Inver Grove Heights",
            "state": "MN",
            "postal_code": "550775472",
            "country_code": "US",
            "telephone_number": "651-330-4702",
            "fax_number": "651-305-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVILES",
        "first_name": "GRACIELA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "1156186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Zeru Andu
• Anika Home Care, LLC
• Alma Aparicio
• Aquad Wellness Group LLC
• Andrew Armeli, DC
• Awareness Autism Network
• Ruth Babick-Scofield, L.AC.
• Back to Health Natural Therapies Inc
• Laura Bagley, MD
• Kristina Baker, PA

• Registered Nurse in Inver Grove Heights, MN
• Providers in Inver Grove Heights, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.