Kimberly Michele Graves

Primary specialty

OpticianTaxonomy code 156FX1800X

License

008341-1 Issued in NY

Practice address

2529 State Highway 206
Greene, NY 13778-2384

Phone

(607) 656-4399

NPI assigned

Nov 23, 2009

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 23, 2009.

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1902134349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 STATE HIGHWAY 206",
            "city": "GREENE",
            "state": "NY",
            "postal_code": "137782384",
            "telephone_number": "607-656-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 STATE HIGHWAY 206",
            "city": "GREENE",
            "state": "NY",
            "postal_code": "137782384",
            "telephone_number": "607-656-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008341-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew John Franco, LMT
• Gary G Parker Jr Physical Therapy PC
• Tracy Lyn Gaylord, OTR/L
• Erica Lynn Geist
• Pamela L Gerst, RN
• Hailey Mae Gray, LMSW
• Greene Central School District
• Greene Emergency Squad Inc
• Greene Family Medicine, PLLC
• Greene Physical Therapy

• All providers in Greene, NY
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.