MR. DAVID BRADLEY GRAVES (NPI# 1629676580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629676580 |
| Entity Type | Individual |
| Full Name | MR. DAVID BRADLEY GRAVES |
| Credential | PMHNP |
| Practice Address |
2613 W Henrietta Rd Rochester NY 14623-2327 |
| Mailing Address |
581 Coldwater Rd Rochester NY 14624-2434 |
| Practice Telephone | 5852794900 |
| Mailing Telephone | 5857214721 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F403084-01 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598949901 | David Lyle Graves | Naturopath | 521 N Argonne Rd Ste B105, Spokane Valley, WA 99212-2867 | 2007-12-20 |
| 1598855991 | David M. Graves | Physician Assistant | 9060 E. Via Linda Dr, Scottsdale, AZ 85258 | 2006-10-14 |
| 1104837962 | David Alan Graves | Dentist | 501 W Poplar St, Elizabethtown, KY 42701-2410 | 2006-08-10 |
| 1962019570 | David Graves Jr. | Counselor | 3418 Lake Ave, Ashtabula, OH 44004-5763 | 2020-09-28 |
| 1215475496 | David Graves | Counselor | 1441 Boxwood Blvd, Columbus, GA 31906-2700 | 2017-02-07 |
| 1356764112 | David F Graves | Massage Therapist | 4244 Central Ave, Saint Petersburg, FL 33711-1140 | 2014-01-30 |
| 1205024759 | David Barnett Graves | Radiology | 2815 S Seacrest Blvd, Bethesda Memorial - Radiology Dept., Boynton Beach, FL 33435-7934 | 2007-10-10 |
| 1952523367 | David Baugh Graves | Pharmacist | 770 Pine St, Suite 100, Macon, GA 31201-2173 | 2007-05-03 |
| 1215075130 | David R Graves | Massage Therapist | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2007-02-02 |
| Street Address |
2613 W HENRIETTA RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770552341 | Diane S. Morse | Internal Medicine | 2613 W Henrietta Rd, Rochester, NY 14623-2327 | 2006-03-16 |
| 1669008553 | Anna Elisabet Close | Counselor | 2613 W Henrietta Rd, Rochester, NY 14623-2327 | 2020-03-23 |
| 1376186353 | Nathan Fanton | Case Manager/Care Coordinator | 2613 W Henrietta Rd, Rochester, NY 14623-2327 | 2019-10-23 |
| 1649822123 | Stephanie Michelle Carletta | Nurse Practitioner | 2613 W Henrietta Rd, Rochester, NY 14623-2327 | 2019-07-15 |
| 1326600560 | Jillian Elizabeth Poepsel | Nurse Practitioner | 2613 W Henrietta Rd, Rochester, NY 14623-2327 | 2019-07-08 |
| 1376021139 | Holly Ann Woodard | Nurse Practitioner | 2613 W Henrietta Rd, Rochester, NY 14623 | 2018-08-03 |
| 1205321189 | Raquel Martinez-calleri | Social Worker | 2613 W Henrietta Rd, Rochester, NY 14623-2327 | 2018-06-24 |
| 1508302258 | Elizabeth Doll | Social Worker | 2613 W Henrietta Rd, Rochester, NY 14623-2327 | 2017-01-18 |
| 1396197190 | Alex Clarke | Social Worker | 2613 W Henrietta Rd, Rochester, NY 14623-2327 | 2016-07-06 |
| 1306242946 | Catherine Mazzotta | Social Worker | 2613 W Henrietta Rd, Rochester, NY 14623-2327 | 2014-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989804 | Christopher Grant Miles | Nurse Practitioner | 1425 Portland Ave Ste 206, Wilson Bldg, Rochester, NY 14621-3011 | 2020-07-14 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1063066272 | Keighley Loveland | Nurse Practitioner | 315 Science Pkwy Ste 500, Rochester, NY 14620-4257 | 2019-07-25 |
| 1396308375 | Adonye T Afonya | Nurse Practitioner | 315 Elton Hills Dr Nw Ste 201, Rochester, MN 55901-2989 | 2019-04-16 |
| 1497280382 | Roslynn Porter | Nurse Practitioner | 77 Colvin St, Rochester, NY 14611-2136 | 2017-04-27 |
| 1235589300 | Andrew Cyrus Marcy | Nurse Practitioner | 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 | 2016-06-20 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1942602198 | Deirdre Mary Kelley | Nurse Practitioner | 1111 Elmwood Ave Bldg 16, Rochester, NY 14620-3005 | 2014-09-18 |
| 1083014070 | M Elizabeth Rowe | Nurse Practitioner | 1645 Saint Paul St, Rochester, NY 14621-3162 | 2014-08-27 |
| 1639587009 | Sean Patrick Murphy | Nurse Practitioner | 95 Allens Creek Road, Building 1 Suite 306, Rochester, NY 14618 | 2014-07-29 |
| Find all providers in ROCHESTER | ||||
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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.