Graham James Patrick, PHD, ARNP

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

AP30004779 Issued in WA

Practice address

502 High St
Port Orchard, WA 98366-4716

Phone

(360) 874-0444

Fax

(360) 874-0037

NPI assigned

Dec 5, 2005

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2019 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1891779682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11083 HORIZON LANE WEST SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983678159",
            "telephone_number": "360-874-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 HIGH ST",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664716",
            "telephone_number": "360-874-0444",
            "fax_number": "360-874-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "GRAHAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PHD, ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30004779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Parker
• Parkwood Afh
• Olivia Pascual
• Logan Patch
• Sophie Louise Patenaude, DMD
• Lori Paul, PTA
• Maxwell Pearl, RN
• Michael Roy Pearson, M.D.
• Sherry Lynn Peck, L.M.P.
• Peninsula Community Health Services

• Psychiatric/Mental Health Registered Nurse in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Psychiatric/Mental Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.