BETHANY ANNE GRAHAM (NPI# 1225345549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225345549 |
| Entity Type | Individual |
| Full Name | BETHANY ANNE GRAHAM |
| Credential | CNP |
| Practice Address |
1250 Ralston Ave Suite 204 Defiance OH 43512-5311 |
| Practice Telephone | 4197828332 |
| Practice Fax Number | 4197826855 |
| Mailing Telephone | 4197828332 |
| Mailing Fax Number | 4197826855 |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2012-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP11740 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3093558 | 05 | |
| OH | MEDICARE | GRNP37611 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275008385 | Bethany T Graham | Home Health Aide | 400 Myrtle Greens Dr Apt C, Conway, SC 29526-9048 | 2018-10-04 |
| 1194269472 | Bethany Nicole Graham | Speech-Language Pathologist | 4610 25th St, Columbus, IN 47203-3239 | 2016-12-06 |
| 1386062537 | Bethany Ann Graham | Psychiatry & Neurology | 777 Bannock St, Denver, CO 80204-4597 | 2014-04-04 |
| 1679736045 | Bethany Graham | Social Worker | 1311 N Dixie Ave, Elizabethtown, KY 42701-2621 | 2008-07-07 |
| Street Address |
1250 RALSTON AVE SUITE 204 |
| City | DEFIANCE |
| State | OH |
| Zip Code | 43512-5311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661805 | James T Harger | Physician Assistant | 1250 Ralston Ave, Ste 102, Defiance, OH 43512-5311 | 2005-07-01 |
| 1851842363 | Melchor L. Mercado M.d. A Professional Corporation | Psychologist | 1250 Ralston Ave, Defiance, OH 43512-5311 | 2016-10-19 |
| 1669868535 | Kaylin Schwartz | Physician Assistant | 1250 Ralston Ave, Suite 102, Defiance, OH 43512-5311 | 2015-04-08 |
| 1427495092 | Joshua Michael Lucas | Family Medicine | 1250 Ralston Ave, Suite 204, Defiance, OH 43512-5311 | 2013-05-22 |
| 1821369307 | Midwest Cardiovascular Consultants LLC | Internal Medicine | 1250 Ralston Ave, Suite 203a, Defiance, OH 43512-5311 | 2012-01-16 |
| 1952680514 | Promedica Central Physicians | Internal Medicine | 1250 Ralston Ave, Suite 106, Defiance, OH 43512-5311 | 2011-08-12 |
| 1104953959 | Promedica West Physicians, LLC | Obstetrics & Gynecology | 1250 Ralston Ave, Suite 205, Defiance, OH 43512-5311 | 2007-02-28 |
| 1831226687 | Promedica West Physicians, LLC | Family Medicine | 1250 Ralston Ave, Suite 106, Defiance, OH 43512-5311 | 2007-02-28 |
| 1801923503 | Promedica West Physicians, LLC | Surgery | 1250 Ralston Ave, Suite 203, Defiance, OH 43512-5311 | 2007-02-28 |
| 1518094275 | Promedica West Physicians, LLC | Family Medicine | 1250 Ralston Ave, Suite 204, Defiance, OH 43512-5311 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174098768 | Dr. Bradley Pittman Dds Ltd. | Oral & Maxillofacial Surgery | 205 E. Second St., Defiance, OH 43512 | 2018-10-10 |
| 1285115147 | Tamara Lynn Junge | Social Worker | 1252 Ralston Avenue, #401, Defiance, OH 43512 | 2018-08-28 |
| 1306207568 | Deborah Lehnert | Licensed Practical Nurse | 511 Perry Street, Defiance, OH 43512 | 2016-03-16 |
| 1265857924 | P & R Home Iv Service, Inc. | Durable Medical Equipment & Medical Supplies | 1018 Ralston Avenue, Suite 107, Defiance, OH 43512 | 2014-03-04 |
| 1609020155 | Christina Marie Pergram | Physician Assistant | 1250 Rlaston Ave, Suite 104, Defiance, OH 43512 | 2008-11-11 |
| 1477740785 | Assisted Living Concepts Inc | Assisted Living Facility | 245 North Rosewood Avenue, Defiance, OH 43512 | 2007-10-01 |
| 1720127863 | Kathy Williams Homier | Counselor | 815 E Second St, Defiance, OH 43512 | 2007-02-05 |
| 1407944960 | Oak Health Care Investors of Defiance, Inc. | Durable Medical Equipment & Medical Supplies | 1701 South Jefferson Ave, Defiance, OH 43512 | 2006-10-10 |
| 1184733719 | Shane Aaron Klingler | Chiropractor | 1770 Jefferson Ave, Defiance, OH 43512 | 2006-08-29 |
| 1396751327 | Elizabeth Marie Seibert | Pharmacist | 1245 E Second St, Defiance, OH 43512 | 2006-07-31 |
| Find all providers in zip 43512 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770575367 | Barbara A Florke | Nurse Practitioner | 211 Biede Ave, Defiance, OH 43512-2408 | 2005-08-18 |
| 1235695818 | Alesha Ann Switzer | Nurse Practitioner | 1250 Ralston Ave Ste 104, Defiance, OH 43512-5308 | 2019-02-19 |
| 1881034916 | Nicole D Morris | Nurse Practitioner | 1400 E 2nd St, Defiance, OH 43512-2440 | 2013-07-03 |
| 1922148147 | Melanie C. Schell | Nurse Practitioner | 1400 E 2nd St, Defiance, OH 43512-2440 | 2007-02-07 |
| 1396720124 | Paula Sprow | Nurse Practitioner | 1250 Ralston Ave, Suite 204, Defiance, OH 43512-5311 | 2005-12-14 |
| 1730162744 | Karla J. Mcdonel | Nurse Practitioner | 1400 E 2nd St, Defiance, OH 43512-2440 | 2005-11-23 |
| 1962485011 | Janis A. Thomas | Nurse Practitioner | 1400 E 2nd St, Defiance, OH 43512-2440 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407497 | Brooke Ashley Sforza | Nurse Practitioner | 7518 Linnville Rd, Newark, OH 43056-9340 | 2020-11-03 |
| 1295335289 | Ipsa Patel | Nurse Practitioner | 3143 Elora Ln, Fairfield Township, OH 45011-0532 | 2020-10-28 |
| 1043810476 | Rylee Fishman | Nurse Practitioner | 5492 Crossbridge Dr, West Chester, OH 45069-1682 | 2020-10-26 |
| 1467051318 | Tylyn Bova | Nurse Practitioner | 26550 Hoop Rd, Freeport, OH 43973-9013 | 2020-10-21 |
| 1558960674 | Alicia Walls-holler | Nurse Practitioner | 5947 S Jay Rd, West Milton, OH 45383-7722 | 2020-10-20 |
| 1184223513 | Ryan Matthew Costlow | Nurse Practitioner | 5605 Madrid Dr, Austintown, OH 44515-4136 | 2020-10-16 |
| 1699373886 | Erin Lea Williams | Nurse Practitioner | 5828 Winshire Dr, Canal Winchester, OH 43110-8791 | 2020-10-11 |
| 1063010338 | Lauren Crook | Nurse Practitioner | 1381 Fox Fire Ct, Lebanon, OH 45036-4032 | 2020-10-09 |
| 1972100287 | Emily Ann Harper | Nurse Practitioner | 6905 Hospital Dr Ste 200a, Dublin, OH 43016-1690 | 2020-10-08 |
| 1780281337 | Lisa Cowles | Nurse Practitioner | 9200 Worthington Rd Ste 300, Westerville, OH 43082-7240 | 2020-10-07 |
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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.