KIMBERLY MICHELLE GRAHAM (NPI# 1083021851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083021851 |
| Entity Type | Individual |
| Full Name | KIMBERLY MICHELLE GRAHAM |
| Credential | NP |
| Practice Address |
11550 Common Oaks Dr Ste 100 Raleigh NC 27614-8093 |
| Mailing Address |
120 William Penn Plz Durham NC 27704-2150 |
| Practice Telephone | 9194535740 |
| Practice Fax Number | 9193131276 |
| Mailing Telephone | 9192205255 |
| Mailing Fax Number | 9193131276 |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2016-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5007025 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AANP CERTIFICATION | F06141001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922515253 | Kimberly Graham | Licensed Practical Nurse | 1009 Broadway St, Elmira, NY 14904-2503 | 2018-01-09 |
| 1730537044 | Kimberly Graham | Speech-Language Pathologist | 815 Kristen Lane, Hahira, GA 31632 | 2016-05-26 |
| 1518297092 | Kimberly Graham | Social Worker | 9649 W. 55th Street, Countryside, IL 60525-3632 | 2010-01-06 |
| 1457818759 | Kimberly Graham | Nurse Practitioner | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2019-02-23 |
| 1225419013 | Kimberly Graham | Social Worker | 5151 Monroe St, Toledo, OH 43623-3462 | 2015-06-17 |
| 1568715696 | Kimberly Ashley Graham | Pharmacist | 545 Cotton Gin Rd, Montgomery, AL 36117-3552 | 2012-10-26 |
| 1275821068 | Kimberly Ann Graham | Pharmacist | 4601 Us Highway 220 N, Summerfield, NC 27358-9207 | 2011-07-14 |
| 1750519203 | Kimberly Graham | Internal Medicine | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2009-06-23 |
| 1831245166 | Kimberly Graham | Social Worker | 1804 Highway 45 Byp, Jackson, TN 38305-4436 | 2007-01-27 |
| 1639273170 | Kimberly Dane Graham | Nurse Practitioner | 250 Hospice Cir, Raleigh, NC 27607-6372 | 2006-09-12 |
| Street Address |
11550 COMMON OAKS DR STE 100 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614-8093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225597925 | Devan Michael Groulx | Physical Therapist | 11550 Common Oaks Dr Ste 100, Raleigh, NC 27614-8093 | 2019-03-13 |
| 1871945402 | Julie Canfield | Physical Therapist | 11550 Common Oaks Dr Ste 100, Raleigh, NC 27614 | 2016-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
| 1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
| 1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
| 1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
| 1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
| 1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
| 1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
| Find all providers in zip 27614 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558990 | Munira Amirali Ward | Nurse Practitioner | 2617 Valley Haven Dr, Raleigh, NC 27603-3197 | 2020-11-03 |
| 1710598644 | Nicole Dora Licato | Nurse Practitioner | 7200 Creedmoor Rd Ste 208, Raleigh, NC 27613-1711 | 2020-08-13 |
| 1316561178 | Mintoria Lynette Stockton | Nurse Practitioner | 8332 Mcguire Dr, Raleigh, NC 27616-5682 | 2020-06-07 |
| 1700407103 | Sadonna Marlene Sawyer | Nurse Practitioner | 3311 Grove Crabtree Cres Apt 122, Raleigh, NC 27613-3063 | 2020-04-27 |
| 1447879903 | Christapher Frank | Nurse Practitioner | 2034 Wesvill Court, Suite 320, Raleigh, NC 28326 | 2020-04-14 |
| 1265065015 | Shubham Tyagi | Nurse Practitioner | Duke Urgent Care Brier Creek, 10211 Alm Street Suite 1200, Raleigh, NC 27617-2761 | 2020-02-20 |
| 1073163812 | Taylor Brooke Lawrence | Nurse Practitioner | 10208 Cerny St Ste 301, Raleigh, NC 27617-1000 | 2019-09-13 |
| 1811456320 | Elizabeth Campbell Mcgrath | Nurse Practitioner | 2615 Lake Dr Ste 201, Raleigh, NC 27607-6694 | 2019-03-14 |
| 1922578541 | Dorothy Nwizu | Nurse Practitioner | 608 Kavkaz St, Raleigh, NC 27610-3176 | 2018-11-26 |
| 1265900013 | Patricia-marie Edge Odom | Nurse Practitioner | 3000 New Bern Ave Ste G100, Raleigh, NC 27610-1231 | 2018-11-09 |
| Find all providers in RALEIGH | ||||
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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.