Individual provider Active NPI

Keyna Graham-Heine, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, WA
National Provider Identifier
1841796604
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60961405 Issued in WA
Practice address
9116 Gravelly Lake Dr SW Ste 107
Lakewood, WA 98499-3148
Phone
(253) 364-6054
Fax
(833) 764-4009
NPI assigned
Apr 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60961405 WA Primary
Registered Nurse 163W00000X RN00166072 WA

Addresses

Primary practice location

9116 Gravelly Lake Dr SW Ste 107
Lakewood, WA 98499-3148

Mailing address

9116 Gravelly Lake Dr SW Ste 107
Lakewood, WA 98499-3148
Phone (253) 364-6054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20191223001796 WA Practitioner - Nurse Practitioner 2365876422 Reassigns benefits to 1 organization
Practice locations: Lakewood, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN00166072WAMDRegistered Nurse
AP60961405WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Keyna Graham-Heine, PLLC Psychiatric/Mental Health CurrentSince Nov 27, 2025 Accepting new patients

Locations

9116 Gravelly Lake Dr SW
Ste 107
Lakewood, WA 98499
Phone (253) 364-6054

Interoperability endpoints

  • Direct secure messaging: keyna.graham-heine.1@34249.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1841796604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9116 GRAVELLY LAKE DR SW STE 107",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993148",
            "telephone_number": "253-364-6054",
            "fax_number": "833-764-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9116 GRAVELLY LAKE DR SW STE 107",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993148",
            "telephone_number": "253-364-6054",
            "fax_number": "833-764-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM-HEINE",
        "first_name": "KEYNA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60961405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00166072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.