Active NPI
Journi LLC
- Psychiatric/Mental Health Nurse Practitioner
- Coon Rapids, MN
National Provider Identifier
1639531353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R217553-5
- Legal business name
- JOURNI LLC
- Practice address
- 277 Coon Rapids Blvd Suite 308
Coon Rapids, MN 55433 - Phone
- (612) 567-0981
- NPI assigned
- Mar 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamera Graziano, ARNP
- Title
- Provider
- Phone
- (763) 333-4718
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R217553-5 | MN | Primary |
Addresses
Primary practice location
277 Coon Rapids Blvd Suite 308
Coon Rapids, MN 55433
Mailing address
11301 Crooked Lake Blvd
Coon Rapids, MN 55433
Phone (763) 333-4718
National Provider Directory
National Provider DirectoryLocations
277 Coon Rapids Blvd NW
Ste 308
Coon Rapids, MN 55433
Phone (612) 567-0981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468368000000",
"number": "1639531353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11301 CROOKED LAKE BLVD",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "55433",
"telephone_number": "763-333-4718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 COON RAPIDS BLVD SUITE 308",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "55433",
"telephone_number": "612-567-0981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOURNI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-22",
"last_updated": "2016-07-13",
"status": "A",
"authorized_official_last_name": "GRAZIANO",
"authorized_official_first_name": "TAMERA",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "763-333-4718",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "R217553-5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.