Katherine Graff, RN

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

RN00082417 Issued in WA

Practice address

3933 Jewell Rd
Bothell, WA 98012-7331

Phone

(425) 408-4506

Fax

(425) 408-4502

NPI assigned

Nov 21, 2013

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 names 1

• Katherine Shafer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1649600073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 JEWELL RD",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980127331",
            "telephone_number": "425-408-4506",
            "fax_number": "425-408-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 JEWELL RD",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980127331",
            "telephone_number": "425-408-4506",
            "fax_number": "425-408-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAFF",
        "first_name": "KATHERINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "RN00082417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "SHAFER",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abby Ilyce Gordon, D.P.T., EMT
• Edmond Gordon, DPT
• Ronit Gourarie, RN
• Wenona Grados
• Donald Graff, PTA
• Bridgette Graham
• Georgia Faye Grammer, MA, M.ED., LMFT
• Eddrii Judea Grant
• Pasha Grant, LICSW
• Brooklyn Gratzer, OTR/L

• Student in an Organized Health Care Education/Training Program in Bothell, WA
• Providers in Bothell, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.