Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ebony Montezz Graham

Individual provider Nurse Practitioner · NPI 1336629518

Ebony Montezz Graham is a Nurse Practitioner in Spokane Valley, Washington. Qualified in 2017, 9 years ago. Practices with Community Health Association of Spokane, a 223-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
9
Licensed in
ID, WA
In the registry since
2018
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

15812 E Indiana Ave Ste 101
Spokane Valley, WA 99216-1875
Phone: (509) 444-8200
Fax: (509) 444-7806
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP60859799 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence 60162 (ID)

Record details

NPI number1336629518
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2018
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Community Health Association Of Spokane — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Spokane Valley