JESSICA LAURA GRAVES (NPI# 1407120066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407120066 |
| Entity Type | Individual |
| Full Name | JESSICA LAURA GRAVES |
| Other Name | JESSICA LAURA BRENNAN |
| Credential | PA-C |
| Practice Address |
110 E Kaahumanu Ave Kahului HI 96732-2118 |
| Mailing Address |
2180 Main St Wailuku HI 96793-1625 |
| Practice Telephone | 8088711730 |
| Mailing Telephone | 8082426464 |
| Mailing Fax Number | 8082424292 |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2018-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | AMD-770 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2129 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861960007 | Jessica Graves | Behavior Technician | 790 Lenzen Ave Apt 327, San Jose, CA 95126-2774 | 2018-11-06 |
| 1063874949 | Jessica Graves | Occupational Therapist | 1329 Scottsville Rd, H6, Bowling Green, KY 42104-2401 | 2016-03-22 |
| 1053745133 | Jessica Lynn Graves | Occupational Therapist | 805 Lincoln St, Washington, MO 63090-3516 | 2013-08-26 |
| 1770548638 | Jessica Graves | Counselor | 70 Broadway, Suite 200, Denver, CO 80203-5937 | 2006-04-20 |
| 1164906962 | Jessica A Graves | Registered Nurse | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2018-09-18 |
| 1003313248 | Jessica Graves | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2018-04-12 |
| 1437463395 | Jessica Dawn Graves | Massage Therapist | 1155 E 2nd Ave, Durango, CO 81301-5155 | 2010-08-03 |
| Street Address |
110 E KAAHUMANU AVE |
| City | KAHULUI |
| State | HI |
| Zip Code | 96732-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578580296 | Ryan Fusato | Internal Medicine | 110 E Kaahumanu Ave, Kahului, HI 96732-2118 | 2006-07-17 |
| 1831422906 | Ellecia Cook | Dermatology | 110 E Kaahumanu Ave, Kahului, HI 96732-2118 | 2009-09-08 |
| 1790949956 | Derek R Illastron | Internal Medicine | 110 E Kaahumanu Ave, Kahului, HI 96732-2118 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749435 | Catherine Phan | Behavior Technician | 427 Ala Makani St, Suite 200, Kahului, HI 96732 | 2020-04-16 |
| 1427535665 | Miles H. Katahara, D.d.s., Inc. | Dentist | 140 Hoohana St. Suite 204, Kahului, HI 96732 | 2018-07-20 |
| 1013428291 | Maui Family Young Men's Christian Association | Health Educator | 250 Kanaloa Ave, Kahului, HI 96732 | 2017-10-16 |
| 1467998765 | Costco | Clinic/Center | 540 Haleakala Highway, Kahului, HI 96732 | 2017-01-10 |
| 1164884649 | Arc of Maui County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 450a Kanaloa Street, Kahului, HI 96732 | 2016-03-24 |
| 1487016846 | Arc of Maui County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 450 B Kanaloa Avenue, Kahului, HI 96732 | 2016-03-24 |
| 1396118311 | Allison Yoshimoto | Speech-Language Pathologist | 122 Anamuli Street, Kahului, HI 96732 | 2015-11-13 |
| 1609252295 | Nanc Ellen Fellerman (-yahr) | Speech-Language Pathologist | 161 S. Wakea Avenue, Imua Family Services, Kahului, HI 96732 | 2015-08-05 |
| 1134508716 | Bayada Home Care | Community/Behavioral Health | 427 Ala Makani Street, Suite 200, Kahului, HI 96732 | 2015-05-28 |
| 1467843656 | B.c.p., Inc. Dba/ Bayada Home Health Care | Home Health | 427 Ala Makani St., Suite 200, Kahului, HI 96732 | 2015-02-10 |
| Find all providers in zip 96732 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710996699 | Nanette A Bowen | Physician Assistant | 89 Hookele St Ste 103, Kahului, HI 96732-3532 | 2006-08-07 |
| 1710282157 | Natalie Colome | Physician Assistant | 89 Hookele St Ste 103, Kahului, HI 96732-3532 | 2011-01-17 |
| 1982925301 | Nicole L Dusenbury | Physician Assistant | 89 Hookele St, #103, Kahului, HI 96732-3532 | 2010-06-21 |
| 1083837942 | Kathleen Anneke | Physician Assistant | 165 Maa St, Kahului, HI 96732-3603 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433505 | Jessica Renae Hall | Physician Assistant | 201 Bougainvillea Loop, Honolulu, HI 96818-1495 | 2020-10-08 |
| 1508472085 | Lauren Whitney Hall | Physician Assistant | 91-1368 Kaileolea Dr, Ewa Beach, HI 96706-6289 | 2020-09-19 |
| 1568076685 | Emily Rose Callaway | Physician Assistant | 501 Hahaione St Apt 8j, Honolulu, HI 96825-1444 | 2020-09-04 |
| 1053939124 | Jamie Tamayose | Physician Assistant | 46-1063 Emepela Way Apt 6u, Kaneohe, HI 96744-3940 | 2020-07-06 |
| 1982161782 | Amanda Laurent | Physician Assistant | 1401 S Beretania St Ste 102, Honolulu, HI 96814-1871 | 2019-02-28 |
| 1720578693 | Ashley Marie Mccall | Physician Assistant | 900 Fort Street Mall Ste 1040, Honolulu, HI 96813-3701 | 2018-05-15 |
| 1245720564 | Zi Xiang Liu | Physician Assistant | 3399 Glennan Street, Schofield Barracks, HI 96786 | 2018-05-11 |
| 1902300056 | Hawaii Care Connect Medical Group LLC | Physician Assistant | 94-356 Waipahu Depot St Ste 204, Waipahu, HI 96797-3057 | 2018-03-22 |
| 1154835353 | Arthur Burgos Domingo | Physician Assistant | 445 Seaside Ave, Honolulu, HI 96815-2640 | 2017-11-27 |
| 1982121059 | Salvador Mireles Thorn | Physician Assistant | U.S. Army Health Clinic Sb, Building 683, Schofield Barracks, HI 96786 | 2017-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.