Brooksie Lashaun McGraw

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Practice address

5311 NW 81St Ave
Gainesville, FL 32653-6149

Phone

(352) 317-1405

NPI assigned

Jan 23, 2023

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1801502968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 NW 81ST AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326536149",
            "telephone_number": "352-317-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 NW 81ST AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326536149",
            "telephone_number": "352-317-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRAW",
        "first_name": "BROOKSIE",
        "middle_name": "LASHAUN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meaghan Olivia McGovern
• Todd McGowan, PT
• Victoria Ashley McGowan, MS, CCC/SLP
• Dorothy Benson McGown, LCSW
• Donna Marie McGrath, LMT
• Diyonne L McGraw
• Keyerra T McGregory
• Khalilah Tashe McGregory
• Reginald G McGrew
• Lori Lynn McGruder, NCC, LMHC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.