MRS. ANDREA MARIE GRAHAM (NPI# 1184050114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184050114 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA MARIE GRAHAM |
| Other Name | MS. ANDREA MARIE SHELLEY |
| Credential | RD,LD |
| Practice Address |
450 E Sigler Ave Memphis MO 63555-1726 |
| Mailing Address |
450 East Sigler Ave. Memphis MO 63555 |
| Practice Telephone | 6604658511 |
| Mailing Telephone | 6604658511 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2016-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2013034940 | MO | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE PTAN | MA4848001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986610 | Andrea Graham | Home Health | 109 S Acline St, Lake City, SC 29560-2632 | 2020-09-15 |
| 1417191511 | Andrea Maxine Graham | Nursing Care | 11430 178th Pl, Jamaica, NY 11434-1410 | 2009-04-21 |
| 1407034721 | Andrea R Graham | Physical Therapist | 412 West Jefferson Street, Auburn, IL 62615 | 2008-02-08 |
| 1447581061 | Andrea Wilson Graham | Counselor | 2106 Treasure Hills Blvd, Harlingen, TX 78550-8736 | 2010-01-21 |
| Street Address |
450 E SIGLER AVE |
| City | MEMPHIS |
| State | MO |
| Zip Code | 63555-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205844982 | Scotland County Memorial Hospital | Family Medicine | 450 E Sigler Ave, Suite A, Memphis, MO 63555-1726 | 2006-08-04 |
| 1235761826 | Marissa Ann Burgess | Physician Assistant | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2020-02-11 |
| 1316486293 | Teresa Marie Kirchner | Nurse Practitioner | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2017-02-13 |
| 1518404847 | Scotland County Community Health Development Services, Inc. | Pharmacy | 450 E Sigler Ave, Suite A-2, Memphis, MO 63555-1726 | 2017-01-24 |
| 1619327111 | Haley Rae Shrum | Nurse Practitioner | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2016-06-15 |
| 1437526258 | Jessica Christen | Nurse Practitioner | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2015-08-27 |
| 1801271788 | Sonya See | Nurse Practitioner | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2015-07-21 |
| 1962818468 | Jenna Williams | Nurse Practitioner | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2014-07-03 |
| 1841617180 | Jennifer Mcminn | Physical Therapy Assistant | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2014-03-25 |
| 1881011468 | Meagan Weber | Specialist | 450 E Sigler Ave, Scotland County Hospital, Memphis, MO 63555-1726 | 2014-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548433485 | Pkanesthesia, Inc | Nurse Anesthetist, Certified Registered | Rt 1 Box 53, Memphis, MO 63555 | 2008-04-11 |
| 1235284167 | Darrell Lynn Monroe | Chiropractor | 107 East Monroe, Memphis, MO 63555 | 2007-01-23 |
| 1952496002 | Jeanne Kay Camden | Chiropractor | 321 North Clay, Hwy 15 North, Memphis, MO 63555 | 2006-10-04 |
| 1639190069 | Randall Tobler | Obstetrics & Gynecology | Sigler Ave, R1, Memphis, MO 63555 | 2006-07-21 |
| 1043788250 | Scotland County Pharmacy Inc | Pharmacy | 445 E Grand Ave, Memphis, MO 63555 | 2018-11-06 |
| 1093894206 | Marilyn Lee Day | Nurse Practitioner | Sigler Ave, Memphis Medical, Memphis, MO 63555 | 2006-11-06 |
| 1730293705 | Robert Wayne Jackson | Internal Medicine | Sigler Ave, Memphis, MO 63555 | 2006-08-18 |
| 1306139027 | Nicholas R Rhodes | Massage Therapist | 429 W Madison St, Memphis, MO 63555-1054 | 2011-05-27 |
| 1275709610 | Harlo Lee Donelson | Dentist | 125 S Main, Memphis, MO 63555-1423 | 2008-05-06 |
| 1801038948 | Lisa Marie Peterson | Social Worker | 215 S Main St, Memphis, MO 63555-1425 | 2009-04-06 |
| Find all providers in zip 63555 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962022731 | Emily Faquin | Dietitian, Registered | 880 Madison Ave Fl 5, Memphis, TN 38103-3409 | 2020-04-22 |
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1982252524 | Whitney Nichole Trotter | Dietitian, Registered | 5578 Sweet Gum Dr, Memphis, TN 38134-6624 | 2019-08-27 |
| 1336706894 | Richard Starr | Dietitian, Registered | 1030 Jefferson Ave # Nfs120, Memphis, TN 38104-2127 | 2019-05-21 |
| 1518437235 | Margaret Bender | Dietitian, Registered | 3589 Johnwood Dr, Memphis, TN 38122-4549 | 2018-11-26 |
| 1629552633 | Leslie Carr Ely | Dietitian, Registered | 6263 Poplar Ave Ste 605, Memphis, TN 38119-4724 | 2018-09-17 |
| 1154827632 | Kristy Gibbons | Dietitian, Registered | 262 Danny Thomas Pl # Ms 732, Memphis, TN 38105-3678 | 2018-04-03 |
| 1114433943 | Abigail Currie Lenore Roche | Dietitian, Registered | 43 N Cleveland St, Memphis, TN 38104-2301 | 2017-12-15 |
| 1386163707 | Casey Provo | Dietitian, Registered | 1689 Nonconnah Blvd., Memphis, TN 38132 | 2017-09-18 |
| 1952848038 | Ward Dietetics, LLC | Dietitian, Registered | 4561 Sequoia Ave, Memphis, TN 38117-1719 | 2017-01-26 |
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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.