STACEY A GRAHAM (NPI# 1215203138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215203138 |
| Entity Type | Individual |
| Full Name | STACEY A GRAHAM |
| Credential | ACNP-BC |
| Practice Address |
22 S Greene St Baltimore MD 21201-1544 |
| Practice Telephone | 4103283179 |
| Mailing Telephone | 4103283179 |
| Enumeration Date | 2012-03-25 |
| Last Update Date | 2014-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R175041 | MD | 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 |
| 1043526155 | Stacey B Graham | Nurse Practitioner | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2010-08-26 |
| 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 |
22 S GREENE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383063 | Malinda Daniel Duke | Nurse Practitioner | 22 S Greene St, Rm N6w84, Baltimore, MD 21201-1544 | 2005-06-01 |
| 1891396784 | Tamara Wiseman | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-11-05 |
| 1063012664 | Shawna Marie Hutton | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-11-01 |
| 1124625413 | Kerry Ann Lambert | Pharmacist | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-08 |
| 1730786104 | Joseph William Russo | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-07 |
| 1295342327 | Leah Marie Dubose | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-23 |
| 1275147167 | Rosalynn Joy Allen | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-09-08 |
| 1174137269 | Keiara Williams | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
| 1699389858 | Caitlin Lauren Thomas | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
| 1639782568 | Anna Pfouts | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416256 | Muriel Monsalud | Nurse Practitioner | 103 W Ostend St, Baltimore, MD 21230-3710 | 2020-10-27 |
| 1285243832 | Jaspreet Kaur Garriques | Nurse Practitioner | 22 S Greene St # N8e10, Baltimore, MD 21201-1590 | 2020-07-29 |
| 1891328779 | Sergio Arellano-ayala | Nurse Practitioner | 22 S Greene St # S4d03, Baltimore, MD 21201-1544 | 2020-02-19 |
| 1306492913 | Lisa Michele Bearman | Nurse Practitioner | 9103 Franklin Square Dr Ste 1800, Baltimore, MD 21237-3938 | 2019-08-11 |
| 1447815311 | Laconya Taylor | Nurse Practitioner | 4140 Patterson Ave, Baltimore, MD 21215-2254 | 2019-05-07 |
| 1588122030 | Menachem Lasdun | Nurse Practitioner | 3218 Shelburne Rd, Baltimore, MD 21208-5623 | 2019-03-04 |
| 1639636731 | Paige Marietta Griffith | Nurse Practitioner | 2541 Fait Ave, Baltimore, MD 21224-3722 | 2019-02-25 |
| 1447611496 | Mallory Trosper | Nurse Practitioner | 1800 Orleans St # 81504, Baltimore, MD 21287-0010 | 2016-03-17 |
| 1598131765 | Margaret Austin | Nurse Practitioner | 4107 Southern Ave, Baltimore, MD 21206-5541 | 2015-08-11 |
| 1750788188 | Nicole Moore | Nurse Practitioner | 22 S Greene St Ste S10b00, Baltimore, MD 21201-1544 | 2014-12-01 |
| Find all providers in BALTIMORE | ||||
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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.