Trent Boone Graves, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP001433 Issued in SD

Practice address

201 W 69TH St
Sioux Falls, SD 57108-2403

Phone

(605) 336-0635

NPI assigned

Aug 31, 2018

Sex

Male

Sole proprietor

Yes

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 SD

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

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: trent.graves.p1@direct.urologyspecialists.nextgenshare.com
• Direct secure messaging: tgraves@urologyspecialists.gwaydirect.com
• Direct secure messaging: trent.graves.1@25062.direct.athenahealth.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.

• Wellspring Physician, PA

  • Family Medicine Physician
  • College Station, TX
  • NPI 1437558210

  SD

  Medicare reassignment NPD

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1790267276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46213 252ND ST",
            "city": "HARTFORD",
            "state": "SD",
            "postal_code": "570335743",
            "telephone_number": "605-261-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 69TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082403",
            "telephone_number": "605-336-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "TRENT",
        "middle_name": "BOONE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Grass, AUD
• Nicole Graue, DC
• Paul Joel Graumann, MS, CCC-SLP
• Cherie Amber Graves, MOTR/L
• Holly Graves, CNP
• Domenica Louise Gravett, MA,CCC-SLP
• Jason Dean Gray, CRNA
• Great Plains Chiropractic & Wellness LLC
• Great Plains Dental
• Great Plains Eye Clinic LTD

• Family Nurse Practitioner in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.