STACY GRAHAM (NPI# 1245699024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245699024 |
| Entity Type | Individual |
| Full Name | STACY GRAHAM |
| Practice Address |
17 Saint Thomas Dr Maumelle AR 72113-7003 |
| Practice Telephone | 5019122362 |
| Mailing Telephone | 5019122362 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A004680 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891116323 | Stacy Graham | Speech-Language Pathologist | 655 Denbigh Blvd, Newport News, VA 23608-4478 | 2013-12-31 |
| 1689912818 | Stacy Marie Graham | Pharmacist | 625 W Washington Ave, Madison, WI 53703-2637 | 2013-01-23 |
| 1992936900 | Stacy Nicole Graham | Physical Therapy Assistant | 401 Locust St, Suite 2a, Coraopolis, PA 15108-3954 | 2009-08-07 |
| 1285753608 | Stacy Bryant Graham | Counselor | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2007-03-28 |
| 1912093501 | Stacy Harold Graham | Internal Medicine | 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8005 | 2006-10-04 |
| Street Address |
17 SAINT THOMAS DR |
| City | MAUMELLE |
| State | AR |
| Zip Code | 72113-7003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104347814 | Shasta Dockery | Registered Nurse | 15020 Wade Blvd., North Little Rock, AR 72113 | 2017-07-03 |
| 1235669839 | Robert Mitchell Fisher | Specialist/Technologist | 134 Vienne Pl, Maumelle, AR 72113 | 2017-06-15 |
| 1932516887 | Healthcare Express, LLP | Clinic/Center | 11819 Maumelle Blvd., North Little Rock, AR 72113 | 2014-07-11 |
| 1184997991 | Preston Lewis | Speech-Language Pathologist | 14 Braeswood Place, Maumelle, AR 72113 | 2012-02-10 |
| 1740437813 | Jennifer L Franklin | Social Worker | 115 Audubon Dr Ste 9a, Maumelle, AR 72113 | 2008-08-20 |
| 1861655912 | Dawn Melton Mulkern | Dietitian, Registered | 12 Ninth Fairway Loop, Maumelle, AR 72113 | 2008-07-09 |
| 1902028723 | Robin Reynolds | Dietitian, Registered | 9300 White Oak Crossing, N Little Rock, AR 72113 | 2007-05-02 |
| 1316096498 | Caretech Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8010 Counts Massie Rd, Suite B, North Little Rock, AR 72113 | 2007-01-09 |
| 1548318470 | Supermarket Investors Inc | Pharmacy | 1117 Audubon Dr, Maumelle, AR 72113 | 2007-01-08 |
| 1821177353 | Maumelle Investments & Associates, LLC | Skilled Nursing Facility | 103 Alexandria Drive, Maumelle, AR 72113 | 2006-11-03 |
| Find all providers in zip 72113 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205355526 | Toronsa Mechel Simpson | Nurse Practitioner | 19 Prince Dr, Maumelle, AR 72113-6125 | 2017-09-19 |
| 1285022632 | Amber Nicole Brandon | Nurse Practitioner | 100 Commercial Park Ct, Apt 72, Maumelle, AR 72113-6988 | 2015-01-07 |
| 1649508474 | Sabrina Wilkowsky | Nurse Practitioner | 134 Cabanel Dr, Maumelle, AR 72113-7300 | 2009-12-07 |
| 1164562948 | Mary Ann Garnica | Nurse Practitioner | 22 Ouachita Dr, Maumelle, AR 72113-6374 | 2007-02-08 |
| 1861018947 | Erik C Friedly | Nurse Practitioner | 501 Millwood Cir Ste E, Maumelle, AR 72113-6304 | 2020-06-24 |
| 1316414642 | Amanda Stark | Nurse Practitioner | 123 Audubon Dr Ste 600, Maumelle, AR 72113-5506 | 2018-10-24 |
| 1295235570 | Erika Alexandra Morrison | Nurse Practitioner | 123 Audubon Dr, Maumelle, AR 72113-5500 | 2018-02-13 |
| 1649720095 | Jessica Upchurch | Nurse Practitioner | 8060 Counts Massie Rd, Maumelle, AR 72113-6657 | 2016-10-10 |
| 1396195996 | Glory Nwankwo | Nurse Practitioner | 8060 Counts Massie Rd, Maumelle, AR 72113-6657 | 2016-06-15 |
| 1275995383 | Patricia Rich | Nurse Practitioner | 8060 Counts Massie Rd, Maumelle, AR 72113-6657 | 2016-03-28 |
| Find all providers in MAUMELLE | ||||
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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.