CHERRY ELIZABETH GRAVES (NPI# 1033328471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033328471 |
| Entity Type | Individual |
| Full Name | CHERRY ELIZABETH GRAVES |
| Credential | FNP-C, WHNP-BC |
| Practice Address |
14231 Seaway Rd Suite 3004 Gulfport MS 39503-4628 |
| Practice Telephone | 2282061905 |
| Practice Fax Number | 2282061917 |
| Mailing Telephone | 2282061905 |
| Mailing Fax Number | 2282061917 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2016-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R866332 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R866332 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | CAQH ID | 12195088 | 01 |
| MS | NP LICENSE NUMBER | R866332 | 01 |
| Street Address |
14231 SEAWAY RD SUITE 3004 |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009810 | Milton R Raines | Radiology | 14231 Seaway Rd, Gulfport, MS 39503-4628 | 2005-08-02 |
| 1700214426 | Premier Women's Health, Pllc | Specialist | 14231 Seaway Rd, #3004, Gulfport, MS 39503-4628 | 2013-10-15 |
| 1013179266 | Raun Joseph Wetzel | Radiology | 14231 Seaway Rd, Gulfport, MS 39503-4628 | 2008-06-30 |
| 1760588727 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 14231 Seaway Rd, Ste D2 & D3, Gulfport, MS 39503-4628 | 2006-09-16 |
| 1376566869 | Donielle A Daigle | Obstetrics & Gynecology | 14231 Seaway Rd, Suite 3004, Gulfport, MS 39503-4628 | 2006-07-25 |
| 1649257858 | Michael A Mckay | Obstetrics & Gynecology | 14231 Seaway Rd, Suite 3004, Gulfport, MS 39503-4628 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861480485 | Faye Centeno | Nurse Practitioner | 1102 45th Ave, Gulfport, MS 39501-2504 | 2005-10-07 |
| 1265960553 | Rebekah Faith Daniels | Nurse Practitioner | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2017-05-31 |
| 1750480307 | Connie R. Rolison | Nurse Practitioner | 4577 13th St, Gulfport, MS 39501-2516 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120665 | Chelsea Lynne Mcgee Walley | Nurse Practitioner | 1880 Bakers Trl, Nesbit, MS 38651-6042 | 2020-06-29 |
| 1225675952 | Victoria Delores Brown | Nurse Practitioner | 5155 Keele St Apt 22d, Jackson, MS 39206-4331 | 2019-12-02 |
| 1497280770 | Jessica Wilder | Nurse Practitioner | 128 Cattail Ln, Ocean Springs, MS 39564-3863 | 2017-04-25 |
| 1609321702 | Ashley Floyd | Nurse Practitioner | 1203 Avenue B Ste 300, Ellisville, MS 39437-2080 | 2016-08-18 |
| 1033571054 | Debra Gail Gill | Nurse Practitioner | 4892 Briarton Dr, Southaven, MS 38672-9571 | 2016-03-29 |
| 1346652377 | Rachel Nichole Ford | Nurse Practitioner | 5963 I 55 N, Jackson, MS 39213-9722 | 2014-05-26 |
| 1831485895 | Anita Sharyl Clinton Donegan | Nurse Practitioner | 1012 Big Lane Dr, Brookhaven, MS 39601-2331 | 2011-06-28 |
| 1285861039 | Katherine Young | Nurse Practitioner | 1212 Northpark Ln Ne, Brookhaven, MS 39601 | 2009-06-19 |
| 1295936839 | Susan Turiano Crump | Nurse Practitioner | 111 Depot Dr # A, Madison, MS 39110-9395 | 2007-05-30 |
| 1760601967 | Kimberly Lynne Schlagel | Nurse Practitioner | 1200 N State St Ste 430, Jackson, MS 39202-2027 | 2007-04-25 |
| 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.