KATHLEEN GRAHAM (NPI# 1043760200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043760200 |
| Entity Type | Individual |
| Full Name | KATHLEEN GRAHAM |
| Credential | AGPCNP-C |
| Practice Address |
1900 N 9th St Philadelphia PA 19122 |
| Mailing Address |
1500 Market St. West Tower Lm 500 Philadelphia PA 19102 |
| Practice Telephone | 2157656690 |
| Practice Fax Number | 2157656694 |
| Mailing Telephone | 2159852500 |
| Mailing Fax Number | 2677652325 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2019-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP019911 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP60690424 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 9th Ave, Mailstop G1-mso, Seattle, WA 981012756 | 2065836063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1831650829 | Kathleen Rose Graham | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2019-03-31 |
| 1033683347 | Kathleen Graham | Registered Nurse | 4377 Bronx Blvd, Bronx, NY 10466-1397 | 2019-01-20 |
| 1407100357 | Kathleen Powers Graham | Nurse Practitioner | 15700 37th Ave N Ste 300, Plymouth, MN 55446-3661 | 2012-10-30 |
| 1851658124 | Kathleen Wakefield Graham | Family Medicine | 4796 Caughlin Pkwy Ste 108, Reno, NV 89519-0910 | 2012-04-11 |
| 1811285547 | Kathleen Joan Graham | Physical Therapist | 6001 Westown Pkwy, West Des Moines, IA 50266-7702 | 2011-07-15 |
| 1437361003 | Kathleen Graham | Dentist | 101 B Parking Way, Lake Jackson, TX 77566 | 2007-05-04 |
| 1760465199 | Kathleen M Graham | Nurse Practitioner | 700 West Ave S, La Crosse, WI 54601-4783 | 2005-11-21 |
| Street Address |
1900 N 9TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811989692 | Megan Kelly | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2005-08-18 |
| 1255780664 | Rebecca L Andriole | Psychologist | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-2024 | 2016-06-07 |
| 1871901819 | Naamah Cashaw-taylor | Registered Nurse | 1900 N 9th St, Philadelphia, PA 19122-2024 | 2014-07-22 |
| 1306277132 | Michelle Elizabeth Buchholz | Registered Nurse | 1900 N 9th St, Philadelphia, PA 19122-2024 | 2013-12-04 |
| 1710311345 | Jessica V Mcgill | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2013-08-30 |
| 1215370291 | Pharmacy of America Iv Inc. | Pharmacy | 1900 N 9th St, Philadelphia, PA 19122 | 2013-04-09 |
| 1508097502 | Emily Carla Dubitzky | Social Worker | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2009-08-07 |
| 1407934383 | Lori Hunter Dixon | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2006-11-01 |
| 1174565428 | Kathleen Rowan Mahoney | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-2024 | 2006-06-12 |
| 1164464798 | Kathleen Boczar | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2006-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719919 | Penn Diagnostic Co. | Clinic/Center | 2014 North 3rd St, Philadelphia, PA 19122 | 2020-10-29 |
| 1821639873 | Marshannie's Home Care, LLC | Home Health | 2143 N Front Street, Philadelphia, PA 19122 | 2019-10-01 |
| 1023679289 | 99 Adult Daycare II Inc | Home Health | 1533-39 N 7th St, Philadelphia, PA 19122 | 2019-06-27 |
| 1891232716 | Alexis Bender | Specialist/Technologist | 1801 Broad Street, Philadelphia, PA 19122 | 2017-01-30 |
| 1770933392 | Frederick Charles Bader | Psychologist | 1231 North Broad Street, 5th Floor, Philadelphia, PA 19122 | 2016-06-14 |
| 1316307192 | Vibrant Rehabilitation LLC | Occupational Therapy Assistant | 1533 - 39 N 7th St, 1/fl, Philadelphia, PA 19122 | 2016-03-07 |
| 1104285519 | Yi Liu | Occupational Therapy Assistant | 1537 North 7th Street, 2/fl, Philadelphia, PA 19122 | 2016-02-12 |
| 1558754580 | Icare Home Health LLC | Home Health | 1706 N. 2nd Street, R2, Philadelphia, PA 19122 | 2015-03-16 |
| 1912313347 | Eve Peters | Pharmacist | 2131 North Broad Street, Philadelphia, PA 19122 | 2014-07-07 |
| 1356618003 | Mohamed Alaoui Mdaghri | Dentist | 2017 N 2nd St, Philadelphia, PA 19122 | 2011-11-23 |
| Find all providers in zip 19122 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471582 | Yanshi Lin | Nurse Practitioner | 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 | 2020-09-15 |
| 1821636317 | Mary Mumbi Njogu | Nurse Practitioner | 907 Woodbrook Ln, Philadelphia, PA 19150-3217 | 2019-12-15 |
| 1235696741 | Divya Rebecca Roberts | Nurse Practitioner | 3400 Civic St, 4th Fl, Philadelphia, PA 19104-5127 | 2019-02-21 |
| 1770073090 | Eboni Simmons | Nurse Practitioner | 5501 Old York Rd # 4320, Philadelphia, PA 19141-3018 | 2018-05-11 |
| 1780180620 | Natalie Clarke | Nurse Practitioner | 7727 Overbrook Ave, Philadelphia, PA 19151-2016 | 2018-03-31 |
| 1396240792 | Barbara Ann Young | Nurse Practitioner | 15054 Carter Rd, Philadelphia, PA 19116-1503 | 2018-03-27 |
| 1780182451 | Kelly Ann Joyce | Nurse Practitioner | 5225 Arendell Ave, Philadelphia, PA 19114-4229 | 2018-01-29 |
| 1699273615 | Dana Patricia Ridley | Nurse Practitioner | 2024 Emily St, Philadelphia, PA 19145-2823 | 2018-01-24 |
| 1497205157 | Sinu Satheeshbabu Nair | Nurse Practitioner | 9285 Darlington Rd, Philadelphia, PA 19115-2734 | 2016-10-06 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19122 |
Please comment or provide details below to improve the information on KATHLEEN GRAHAM.
| 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.