Active NPI
Jenny Mora Graffato, APRN
- Family Nurse Practitioner
- Metairie, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP220980
- Practice address
- 3616 S I 10 Service Rd W Ste 100
Metairie, LA 70001-1884 - Phone
- (504) 838-5257
- NPI assigned
- Jul 1, 2021
- Last updated
- Jul 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP220980 | LA | Primary |
| Family Medicine Physician | 207Q00000X | 220980 | LA |
Addresses
Primary practice location
3616 S I 10 Service Rd W Ste 100
Metairie, LA 70001-1884
Mailing address
3100 Williams Blvd
Kenner, LA 70065-4505
Phone (504) 443-1744
Other practice location 1
3100 Williams Blvd
Kenner, LA 70065-4505
Phone (239) 425-7895
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | Metairie | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3616 S I 10 Service Rd
Metairie, LA 70001-1874
3616 S I 10 Service Rd W
Suite 100
Metairie, LA 70001-1884
Phone (504) 838-5215
3616 S I 10 Service Rd W
Suite 200
Metairie, LA 70001-1874
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP220980 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffcare | Current | Accepting new patients | |
| Jeffcare | Multi-Specialty | Current | Accepting new patients |
| Signify Health, LLC | Multi-Specialty | Current | Accepting new patients |
| Mendoza Medical Clinic | Past | Accepting new patients |
Locations
5001 Westbank Expy
Ste 100
Marrero, LA 70072
Phone (504) 349-8801
3616 S I 10 Service Rd W
Ste 100
Metairie, LA 70001
Phone (504) 838-5215
3616 S I 10 Service Rd W
Ste 200
Metairie, LA 70001
Phone (504) 535-2430
201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba JeffCare East Jefferson
- Federally Qualified Health Center (FQHC)
- Metairie, LA
- NPI 1518383785
Multi-Specialty
-
dba JeffCare West Jefferson
- Federally Qualified Health Center (FQHC)
- Marrero, LA
- NPI 1154747327
-
- Pediatrics Physician
- Kenner, LA
- NPI 1073839759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1932770880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 WILLIAMS BLVD",
"city": "KENNER",
"state": "LA",
"postal_code": "700654505",
"telephone_number": "504-443-1744",
"fax_number": "504-443-1752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3616 S I 10 SERVICE RD W STE 100",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700011884",
"telephone_number": "504-838-5257"
}
],
"practiceLocations": [
{
"address_1": "3100 Williams Blvd",
"address_purpose": "LOCATION",
"city": "Kenner",
"state": "LA",
"postal_code": "700654505",
"country_code": "US",
"telephone_number": "239-425-7895",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAFFATO",
"first_name": "JENNY",
"middle_name": "MORA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-01",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP220980",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "220980",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "Metairie",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3100 Williams Blvd",
"city": "Kenner",
"state": "LA",
"country_code": "US",
"postal_code": "700654505",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.