Individual provider Active NPI

Yatia Laque Graves

  • Home Modifications Contractor
  • Portsmouth, VA
National Provider Identifier
1730066655
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Practice address
4399 Portsmouth Blvd Apt 2a
Portsmouth, VA 23701-2553
Phone
(757) 818-2236
NPI assigned
Aug 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Occupational Therapist 225XM0800X
Home Modifications Contractor 171WH0202X Primary

Addresses

Primary practice location

4399 Portsmouth Blvd Apt 2a
Portsmouth, VA 23701-2553

Mailing address

4399 Portsmouth Blvd Apt 2a
Portsmouth, VA 23701-2553
Phone (757) 818-2236

Other practice location 1

4399 Portsmouth Blvd Apt 2A
Portsmouth, VA 23701-2553
Phone (757) 818-2236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1730066655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4399 PORTSMOUTH BLVD APT 2A",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012553",
            "telephone_number": "757-818-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4399 PORTSMOUTH BLVD APT 2A",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012553",
            "telephone_number": "757-818-2236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4399 Portsmouth Blvd Apt 2A",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237012553",
            "country_code": "US",
            "telephone_number": "757-818-2236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "YATIA",
        "middle_name": "LAQUE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.