Roberto Jose Grau Varela, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3017103 Issued in KY

Practice address

3939 7TH Street Rd
Louisville, KY 40216-4103

Phone

(502) 883-6800

Fax

(502) 384-2316

NPI assigned

Mar 8, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• PMR Ky Holding, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1740737709

  KY, Nurse Practitioner

  Medicare reassignment NPD
• PMR Ky Holding, LLC

  • Community/Retail Pharmacy
  • Louisville, KY
  • NPI 1083197388
  NPD (past)

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1760139828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 7TH STREET RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164103",
            "telephone_number": "502-883-6800",
            "fax_number": "502-384-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 7TH STREET RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164103",
            "telephone_number": "502-883-6800",
            "fax_number": "502-384-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAU VARELA",
        "first_name": "ROBERTO",
        "middle_name": "JOSE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3017103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael F Grass, D.C.
• Ashlee Nicole Grate
• Jessica F Grate, COTA/L
• Rebecca Lane Gratz, CPSS
• Gabriela Grau Apa, APRN
• Nina Grau
• Graven and Associates, PLLC
• Jacquelyn J. Graven, PSYD
• Robert Alan Graven, MSSW
• William Lee Graven Jr., DMD

• All providers in Louisville, KY
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.