MR. REGINALD CARL GRAVES


Address: 700 Se Inner Loop, Georgetown, TX 78626-7700
Phone: 5128199400

MR. REGINALD CARL GRAVES (NPI# 1801348321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801348321
Entity Type Individual
Full Name MR. REGINALD CARL GRAVES
Credential FNP
Practice Address 700 Se Inner Loop
Georgetown
TX 78626-7700
Mailing Address 17511 Golden Glade Lane
Houston
TX 77095
Practice Telephone 5128199400
Mailing Telephone 7139270145
Enumeration Date 2016-11-01
Last Update Date 2019-05-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP132295 TX Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
2018020811 TX Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
17511 Golden Glade Lane, Houston, TX 77095 7139270145

Office Location

Street Address 700 SE INNER LOOP
City GEORGETOWN
State TX
Zip Code 78626-7700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831173350 Adam Borah Psychiatry & Neurology 700 Se Inner Loop, Georgetown, TX 78626-7700 2005-11-30
1235630427 Candice Schrodetzki Nurse Practitioner 700 Se Inner Loop, Georgetown, TX 78626 2018-02-23
1336661974 Marc Ernest Biala Nurse Practitioner 700 Se Inner Loop, Georgetown, TX 78626 2017-07-14
1013380617 Central Texas Psychiatry Psychiatry & Neurology 700 Se Inner Loop, Georgetown, TX 78626-7700 2015-11-04
1740657253 Steigerwalt Psychiatric Services, Pllc Psychiatry & Neurology 700 Se Inner Loop, Georgetown, TX 78626-7700 2015-09-01
1104200070 Sjs Medical Consulting Pllc Psychiatry & Neurology 700 Se Inner Loop, Georgetown, TX 78626-7700 2015-07-10
1871976027 Danielle Marie Linders Counselor 700 Se Inner Loop, Georgetown, TX 78626-7700 2015-07-07
1205221397 Rock Springs Physician Group LLC General Practice 700 Se Inner Loop, Georgetown, TX 78626-7700 2015-04-06
1487064184 Adam M. Borah, Md, Pllc Psychiatry & Neurology 700 Se Inner Loop, Georgetown, TX 78626-7700 2014-05-02
1699190348 Thomure Psychiatric Services Pllc Psychiatry & Neurology 700 Se Inner Loop, Georgetown, TX 78626-7700 2014-03-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932603230 Danietra Mcgrue Home Health Aide 108 Blue Waterleaf Ln, Georgetown, TX 78626 2018-03-21
1588175673 Kristin Marie Alaniz Nurse Practitioner 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 2017-10-17
1669865275 Stephen Harris Counselor 101 W Cooperative Way Ste 100, Georgetown, TX 78626 2015-03-07
1356739080 Craig Crossman Physical Therapy Assistant 705 E 13th St, Georgetown, TX 78626 2015-01-05
1679977318 Nancy Krenek Physical Therapist 2050 Rockride Ln., Georgetown, TX 78626 2014-10-09
1275956807 Georgetown Behavioral Health Institute, LLC Psychiatric Hospital 3101 S. Austin Avenue, Georgetown, TX 78626 2014-02-03
1184056954 Rock Springs, LLC Psychiatric Hospital 700 Southeast Inner Loop, Georgetown, TX 78626 2013-08-05
1447691936 Brandon Michael Hoffman Dentist 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 2013-07-11
1235422932 Erica Marie Edgington Nurse Anesthetist, Certified Registered Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 2011-05-27
1356570907 Grace Salone Optometrist 950 W University Ave Ste 108, Georgetown, TX 78626 2009-07-03
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528672292 Megan Gresham Nurse Practitioner 20099 Office Cir Ste 208, Georgetown, DE 19947-3196 2020-09-01
1922619584 Shawn Marie Kraus Nurse Practitioner 2000 Fm 1460 Apt 7201, Georgetown, TX 78626-4478 2020-08-16
1063022465 Whitney Elizabeth Bauer Nurse Practitioner 112 Mallory Ln, Georgetown, KY 40324-1282 2020-07-31
1891311338 Abby Hiller Nurse Practitioner 313 Square Bnd, Georgetown, TX 78633-4674 2020-06-20
1891311791 Community Medical Center LLC Nurse Practitioner 5300 State Road 64 Ste 101, Georgetown, IN 47122-9178 2020-06-17
1801419213 Megan Patrick Nurse Practitioner 3293 Center Rd, Georgetown, SC 29440-6792 2020-05-20
1962046284 Christopher Earl Jaisingh Nurse Practitioner 1103 Rivery Blvd Ste 145, Georgetown, TX 78628-3034 2019-10-30
1083262059 Bridget J. Pennell Nurse Practitioner 117 Village Blvd, Georgetown, KY 40324-8517 2019-09-03
1366902223 Leslie Robin Duff Nurse Practitioner 1076 Degaris Mill Rd, Georgetown, KY 40324-9724 2019-03-25
1518422047 Ray of Hope Recoveries Inc Nurse Practitioner 104 Canewood Center Dr Ste 3, Georgetown, KY 40324-8043 2019-02-08
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Competitor

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City GEORGETOWN
Zip Code 78626

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Dataset Information

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.

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