MARY JO GRAVES (NPI# 1962861179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962861179 |
| Entity Type | Individual |
| Full Name | MARY JO GRAVES |
| Credential | CPNP |
| Practice Address |
7011 N Howard St Ste 202 Fresno CA 93720-2955 |
| Practice Telephone | 5594384100 |
| Practice Fax Number | 5594474496 |
| Mailing Telephone | 5594384100 |
| Mailing Fax Number | 5594474496 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
C236057-NPF 361 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043609092 | Mary Graves | Case Manager/Care Coordinator | 1009 W Evergreen St, Durant, OK 74701-4719 | 2015-01-14 |
| 1508170788 | Mary Jane Graves | Registered Nurse | 1021 E 300 N, Huntington, IN 46750-9510 | 2010-07-30 |
| 1760025092 | Mary Frances Graves | Physician Assistant | 5580 Inn Rd, Mobile, AL 36619-1904 | 2019-10-18 |
| 1740835917 | Mary C Graves | Counselor | 1950 E 17th St Ste 150, Santa Ana, CA 92705-6852 | 2019-08-05 |
| 1013471192 | Mary Graves | Counselor | 20 Vesper Ln, Nantucket, MA 02554-4394 | 2019-01-23 |
| 1336562743 | Mary Kathleen Vaughan Graves | Physician Assistant | 11800 Sunrise Valley Dr Ste 800, Reston, VA 20191-5320 | 2014-01-22 |
| 1548474109 | Mary Flack Graves | Physical Therapist | 2727 Mc Clelland Blvd, Joplin, MO 64804-1626 | 2007-05-10 |
| 1205941598 | Mary Elouise Graves | Marriage & Family Therapist | 2701 Burchill Rd N, Fort Worth, TX 76105-3012 | 2006-08-20 |
| 1164490504 | Mary Elizabeth Graves | Nurse Practitioner | 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152-3938 | 2006-03-10 |
| Street Address |
7011 N HOWARD ST STE 202 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-2955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770102295 | Roxanna Arely Caballero | Nurse Practitioner | 185 N Douglas Ave, Fresno, CA 93727-3637 | 2020-04-14 |
| 1871079509 | Erika Varney | Nurse Practitioner | 6769 N Willow Ave Ste 101, Fresno, CA 93710-5900 | 2018-07-16 |
| 1114324738 | Cheryl Martinez | Nurse Practitioner | 1301 M St, Fresno, CA 93721-1807 | 2014-11-25 |
| 1386847945 | Sharon Anne Templeton | Nurse Practitioner | 1180 E Shaw Ave Ste 101, Fresno, CA 93710-7809 | 2007-06-08 |
| 1962574814 | Gloria Ann Liu | Nurse Practitioner | 4785 N. First Street, Kaiser Permanente, Fresno, CA 93726 | 2006-11-15 |
| 1043793466 | Jennifer Nelson | Nurse Practitioner | 7720 N Fresno St, Fresno, CA 93720-2407 | 2018-09-11 |
| 1336626209 | Jennifer Lee Ruch | Nurse Practitioner | 7045 N Maple Ave Ste 108, Fresno, CA 93720-8008 | 2018-07-24 |
| 1851819742 | Minal Patel | Nurse Practitioner | 2210 E Illinois Ave Ste 206, Fresno, CA 93701-2184 | 2017-08-31 |
| 1437694155 | Arsia Moua | Nurse Practitioner | 290 N Wayte Ln # 1300, Fresno, CA 93701-2124 | 2017-01-04 |
| 1801346069 | Maria Antonia Garcia | Nurse Practitioner | 7105 N Chestnut Ave, Suite 102, Fresno, CA 93720-0357 | 2016-10-11 |
| Find all providers in FRESNO | ||||
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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.