Jody Grahn, NP C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

310425 Issued in NY

Practice address

251 East Ave
Lockport, NY 14094-3825

Phone

(716) 257-1248

Fax

(716) 215-6170

NPI assigned

Aug 23, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Som Medical Practice PLLCGroup PAC ID 2769736297, 7 clinicians

Niagara Falls Urgent CareGroup PAC ID 1951666908, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jgrahn@sommedicalpractice.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Niagara Falls Urgent Care

  • Urgent Care Clinic/Center
  • Niagara Falls, NY
  • NPI 1205368172
  Medicare reassignment Care Compare group NPD
• Som Medical Practice PLLC

  • Family Medicine Physician
  • Niagara Falls, NY
  • NPI 1720598501
  Medicare reassignment Care Compare group
• Lake Ridge Neurological

  • Neurology Physician
  • Seneca, SC
  • NPI 1063486363
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1700879020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 MILITARY RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044813",
            "telephone_number": "716-297-2052",
            "fax_number": "716-215-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 EAST AVE",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140943825",
            "telephone_number": "716-257-1248",
            "fax_number": "716-215-6170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3117 Military Rd",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143044813",
            "country_code": "US",
            "telephone_number": "716-257-1254",
            "fax_number": "716-215-6170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3117 Military Rd",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143044813",
            "country_code": "US",
            "telephone_number": "716-297-2052",
            "fax_number": "716-215-6170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHN",
        "first_name": "JODY",
        "credential": "NP C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "136905",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "06835221",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige E Glynn, LCSWR
• Amina Golden-Arabaty
• Chandrashaker R Gona, MD
• Rachel Elizabeth Goranites, MS OTR/L
• Rhea Gossling
• Katrina Grande, RN
• Stacie Grant, N.P.
• Alexis Lynn Grawe-Zak, LMHC-P
• Lene'E Gray
• Great Lakes Surgical Associates, P.C.

• Adult Health Nurse Practitioner in Lockport, NY
• Providers in Lockport, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.