Organization Active NPI

Journi LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Coon Rapids, MN
National Provider Identifier
1639531353
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R217553-5 Issued in MN
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

Updated by the provider on Jul 13, 2016

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.