Niesha Qiana Graves

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

4812 Merrifield PL
Upper Arlington, OH 43220-5435

Phone

(313) 433-0151

NPI assigned

Aug 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Diligent RND

  • Non-emergency Medical Transport (VAN)
  • Dublin, OH
  • NPI 1265151542

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1760100283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 MERRIFIELD PL",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432205435",
            "telephone_number": "313-433-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 MERRIFIELD PL",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432205435",
            "telephone_number": "313-433-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "NIESHA",
        "middle_name": "QIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Gibson, MPT
• Andy Ben Gilbert, D.D.S.
• Mariann Brown Giles, MD
• Julie E. Grafmeyer, CNP
• John M Grandominico, D.C.
• Brittney R Gray, SLP
• Rachael Hackney, OT
• Richard Hairston
• Nisrine Hamad
• Christopher Hanna, PT

• Prosthetist in Upper Arlington, OH
• Providers in Upper Arlington, OH by specialty
• Prosthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.