STACEY B GRAHAM (NPI# 1043526155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043526155 |
| Entity Type | Individual |
| Full Name | STACEY B GRAHAM |
| Credential | ARNP |
| Practice Address |
2230 Sw 19th Avenue Rd Ocala FL 34471-1391 |
| Practice Telephone | 3522374133 |
| Practice Fax Number | 3522377728 |
| Mailing Telephone | 3522374133 |
| Mailing Fax Number | 3522377728 |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2017-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP3355022 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598002818 | Stacey Queen Graham | Occupational Therapist | 4550 Shenadoah Ave, Roanoke, VA 24017 | 2013-01-07 |
| 1972073575 | Stacey Traylor Graham | Registered Nurse | 3419 Main St, Newberry, SC 29108-4145 | 2018-11-27 |
| 1811441264 | Stacey Marie Graham | Nurse Practitioner | 111 S Grant Ave, Columbus, OH 43215-4701 | 2016-08-14 |
| 1841699527 | Stacey Parrish Graham | Pharmacist | 10050 Glenwood Ave, Raleigh, NC 27617-8436 | 2014-08-18 |
| 1083963532 | Stacey Deanne Graham | Nurse Practitioner | 888 Lakeside Vlg Commons, Chico, CA 95928-3979 | 2012-08-30 |
| 1215203138 | Stacey A Graham | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2012-03-25 |
| 1003045956 | Stacey L Graham | Counselor | 608 Wright Ave, Alma, MI 48801-1600 | 2009-07-13 |
| 1750583050 | Stacey Graham | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2007-05-31 |
| Street Address |
2230 SW 19TH AVENUE RD |
| City | OCALA |
| State | FL |
| Zip Code | 34471-1391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629321 | Adam Lee Alpers | Family Medicine | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2005-06-15 |
| 1205434024 | Shekeita Perry | Nurse Practitioner | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2020-10-14 |
| 1427617067 | Holly Marie Grisales | Nurse Practitioner | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2019-06-07 |
| 1679131031 | Janea A Thaler | Nurse Practitioner | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2019-05-31 |
| 1154809101 | Samantha Weston | Physician Assistant | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2018-08-01 |
| 1467958967 | Andrew Cushenbery | Nurse Practitioner | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2018-04-03 |
| 1558871186 | Melissa S Formella | Nurse Practitioner | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2017-10-10 |
| 1548712854 | Melanie Grizzard | Nurse Practitioner | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2016-11-03 |
| 1720530702 | Corey West | Nurse Practitioner | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2016-10-26 |
| 1629420096 | Tyler H Lindsey | Physician Assistant | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2016-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385383 | Samer Faragalla | Pharmacist | 2600 Sw 19th Ave Rd, Ocala, FL 34471 | 2020-10-31 |
| 1336789684 | Anthony Smith | Behavior Technician | 2102 Sw 20th Place Ste 302, Ocala, FL 34471 | 2020-01-14 |
| 1871136788 | Toni Trask | Counselor | 300 Se Sanchez Ave, Ocala, FL 34471 | 2019-10-23 |
| 1538701354 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1315 Se 25th Loop #102, Ocala, FL 34471 | 2019-10-14 |
| 1730666355 | Next Pt Group Florida, LLC | Occupational Therapist | 1661 Se 31st St Unit 3, Ocala, FL 34471 | 2018-07-26 |
| 1902397680 | Aidan Thurian Charles | Student in an Organized Health Care Education/Training Program | 1431 Sw First Avenue, Ocalu, FL 34471 | 2018-05-29 |
| 1871084426 | Infectious Diseases Specialty Associates Pllc | Internal Medicine | 150 Se 17th St Ste 801, Ocala, FL 34471 | 2018-05-18 |
| 1528560950 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 2400 Sw College Rd., Suite 202, Ocala, FL 34471 | 2018-03-01 |
| 1518469071 | Jordan Griffis | Nurse Practitioner | 1630 Se 18th Street Building 600 Suite 602, Ocala, FL 34471 | 2018-03-01 |
| 1780192112 | Pmc Knee Pain & Restoration LLC | Preventive Medicine | 200 Sw 8th St Ste A, Ocala, FL 34471 | 2018-01-19 |
| Find all providers in zip 34471 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525300 | Panzer Concierge Medicine LLC | Nurse Practitioner | 2880 Se 31st St, Ocala, FL 34471-6252 | 2020-10-12 |
| 1558973511 | Casey Shea Chapman | Nurse Practitioner | 2211 Se 73rd St, Ocala, FL 34480-6201 | 2020-08-20 |
| 1831700368 | Jaime Renee Howland | Nurse Practitioner | 3333 Ne 32nd Ave, Ocala, FL 34479-3098 | 2020-08-10 |
| 1265057798 | Angelika Marie Agudelo | Nurse Practitioner | 4315 Se 60th St, Ocala, FL 34480-7749 | 2020-06-10 |
| 1184247157 | Joanne Caridad Blanco Lebosada | Nurse Practitioner | 4707 Sw 62nd Pl, Ocala, FL 34474-4786 | 2020-05-25 |
| 1235758046 | Rolla Pierre | Nurse Practitioner | 2592 Sw 156th Pl, Ocala, FL 34473-3493 | 2020-04-11 |
| 1215569868 | Victoria Tuten | Nurse Practitioner | 1850 Se 18th Ave Apt 1905, Ocala, FL 34471-8259 | 2020-02-11 |
| 1891332227 | Lenora Everett-gayle | Nurse Practitioner | 4401 Sw 171st Pl, Ocala, FL 34473-5082 | 2019-12-04 |
| 1801444559 | Dee Demetrius Lewis | Nurse Practitioner | 2015 Ne 12th Pl, Ocala, FL 34470-4734 | 2019-08-27 |
| 1033771563 | Brooke Wacker | Nurse Practitioner | 17825 Sw 31st Ave, Ocala, FL 34473-4550 | 2019-07-04 |
| Find all providers in OCALA | ||||
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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.