AMANDA GRAVES (NPI# 1760968804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760968804 |
| Entity Type | Individual |
| Full Name | AMANDA GRAVES |
| Credential | FNP |
| Practice Address |
1900 N State St Ste 103 Provo UT 84604-1354 |
| Practice Telephone | 8016695758 |
| Mailing Telephone | 8016695758 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2020-05-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
9111041-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
911041 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12272 S 800 E Ste A, Draper, UT 840209776 | 8015231300 | 8015231301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536968 | Amanda Graves | Occupational Therapist | 637 Highwood Cir, Charleston, SC 29412-9004 | 2017-08-30 |
| 1487087037 | Amanda Graves | Social Worker | 79427 Calle Palmeto, La Quinta, CA 92253-8554 | 2013-08-19 |
| 1205105327 | Amanda Graves | Speech-Language Pathologist | 600 S Tyler St Ste 805, Amarillo, TX 79101-2353 | 2011-12-19 |
| 1346807542 | Amanda Gabrielle Graves | Family Medicine | 2347 Fifth Ave, Mckeesport, PA 15132-1126 | 2019-05-22 |
| 1811495542 | Amanda Delgado Graves | Social Worker | 10945 Reed Hartman Hwy, Blue Ash, OH 45242-2828 | 2018-01-29 |
| 1033623418 | Amanda Jean Graves | Massage Therapist | 6504 Ne Siskiyou St, Portland, OR 97213-4572 | 2017-11-21 |
| 1205232576 | Amanda Marie Graves | Physical Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2014-11-13 |
| 1205142080 | Amanda Graves | Speech-Language Pathologist | 10251 N 35th Ave, Phoenix, AZ 85051-1305 | 2010-08-31 |
| 1134370588 | Amanda R Graves | Speech-Language Pathologist | 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 | 2008-10-03 |
| 1750404893 | Amanda Graves | Counselor | 29 Ravenscroft Dr, Suite 201, Asheville, NC 28801-3673 | 2007-04-06 |
| Street Address |
1900 N STATE ST STE 103 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366004244 | Brittany Elise Mccready | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2019-07-01 |
| 1366003840 | Jennifer Lauren Smith | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2019-06-25 |
| 1437607876 | Sarah Roberts | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2016-09-14 |
| 1821114505 | Jennifer Ann Booth | Nurse Practitioner | 920 N 500 W, Provo, UT 84604-3339 | 2007-03-22 |
| 1063538775 | Heidi Mcsweeney | Nurse Practitioner | 920 N 500 W, Provo, UT 84604-3339 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237745 | Tiffani Jane Guymon | Nurse Practitioner | 527 W 400 N Ste 4, Orem, UT 84057-1951 | 2019-04-15 |
| 1356742233 | Jutta Deininger | Nurse Practitioner | 1950 Circle of Hope, Clinic 3a, Salt Lake City, UT 84112-5550 | 2014-09-10 |
| 1295166809 | Marnae Harward | Nurse Practitioner | 1140 E 3900 S, Ste 400, Salt Lake City, UT 84124-1228 | 2013-12-06 |
| 1508046772 | Patricia Marie James | Nurse Practitioner | 1580 W Antelope Dr, Suite 290, Layton, UT 84041-1160 | 2007-11-05 |
| 1689716888 | A. Sue Montiel | Nurse Practitioner | 24 S 1100 E, Ste 209, Salt Lake City, UT 84102-1580 | 2007-02-13 |
| 1659463404 | Ena C. Cardona-mason | Nurse Practitioner | 1350 N 500 E, Logan, UT 84341-2400 | 2006-09-29 |
| 1912937343 | Lisa Ann Borunda | Nurse Practitioner | 295 S 1470 E Ste 300, Saint George, UT 84790-1762 | 2006-07-03 |
Please comment or provide details below to improve the information on AMANDA 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.