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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
17511 Golden Glade Lane, Houston, TX 77095 | 7139270145 |
Street Address |
700 SE INNER LOOP |
City | GEORGETOWN |
State | TX |
Zip Code | 78626-7700 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 78626 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
Find all providers in GEORGETOWN |
City | GEORGETOWN |
Zip Code | 78626 |
Please comment or provide details below to improve the information on MR. REGINALD CARL GRAVES.
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.