GLORIA L GRAHAM (NPI# 1275549172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275549172 |
| Entity Type | Individual |
| Full Name | GLORIA L GRAHAM |
| Credential | NP |
| Practice Address |
2921 Hwy 77 S Suite 20 Marion AR 72364-2367 |
| Practice Telephone | 8707395311 |
| Practice Fax Number | 8707395542 |
| Mailing Telephone | 8707395311 |
| Mailing Fax Number | 8707395542 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A01560 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 159872758 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932519964 | Gloria Graham | Family Medicine | 50249 Harrison St, Coachella, CA 92236 | 2014-04-29 |
| 1760487565 | Gloria Flippin Graham | Dermatology | 4252 Arendell St H, Morehead City, NC 28557-0015 | 2005-06-17 |
| 1376704866 | Gloria Graham | Licensed Psychiatric Technician | 7922 Palm St, Lemon Grove, CA 91945-2956 | 2008-06-18 |
| 1639202187 | Gloria Ann Graham | Occupational Therapist | 5700 Executive Center Dr, Suite 115, Charlotte, NC 28212-8858 | 2007-03-13 |
| Street Address |
2921 HWY 77 S SUITE 20 |
| City | MARION |
| State | AR |
| Zip Code | 72364-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629457254 | Phillips Family Healthcare, LLC | Nurse Practitioner | 2921 Hwy 77 S, Suites 12-13, Marion, AR 72364-2367 | 2015-05-28 |
| 1154719508 | Heart2heart Counseling Associates LLC | Counselor | 2921 Hwy 77 S, Suites 20, Marion, AR 72364-2367 | 2015-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
| 1083235998 | Lorenzo Soto | Specialist/Technologist | 444 Dogwood Cove, Marion, AR 72364 | 2020-05-01 |
| 1225663073 | Martha Hall | Technician | 144 Morningside Drive, Marion, AR 72364 | 2020-03-11 |
| 1073159984 | Angela Hamill | Nurse Practitioner | 924 Ar 77, Marion, AR 72364 | 2019-11-26 |
| 1346761251 | Ashlyn Brook Williams | Nurse Practitioner | 136 Block Street, Marion, AR 72364 | 2017-06-30 |
| 1447622873 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2100 Highway 77, Marion, AR 72364 | 2015-10-26 |
| 1366828378 | Hilary Hartwig | Nurse Practitioner | 1139 Hwy 77, Marion, AR 72364 | 2015-08-03 |
| 1730575077 | Roadmaps To Recovery Counseling Services of Midsouth | Community/Behavioral Health | 162 W Military Road, Marion, AR 72364 | 2015-04-14 |
| 1144661141 | Heather Chapman | Physical Therapy Assistant | 2860 I 55 Service Rd Ste C, Marion, AR 72364 | 2013-07-08 |
| 1679919351 | Gladys Hampton | Counselor | 1227 Highway 77, Suite 2, Marion, AR 72364 | 2013-05-21 |
| Find all providers in zip 72364 | ||||
| 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 |
|---|---|---|---|---|
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1669962098 | Brittani Danelle Atwood | Nurse Practitioner | 990 S. Prospect Street, Suite 2, Marion, OH 43302-6283 | 2018-05-10 |
| 1538658521 | Schinitra Ti'onette Swinney | Nurse Practitioner | 1328 N. Main Street, Marion, SC 29571 | 2018-05-04 |
| 1972016327 | Kaelen Nothnagel | Nurse Practitioner | 1000 Mckinley Park Dr Ste Mri, Marion, OH 43302-6399 | 2017-11-08 |
| 1851824767 | Shaketia Barnes | Nurse Practitioner | 717 Lena Dr, Marion, AR 72364-9002 | 2017-04-07 |
| 1487995858 | Melissa Ann Wood-heller | Nurse Practitioner | 1103 N Baldwin Avenue, Marion, IN 46952-2600 | 2013-03-11 |
| 1790042455 | Courtney Paden Morris Gardner | Nurse Practitioner | 387 Us 70 W Ste 1, Marion, NC 28752-6202 | 2012-04-19 |
| 1770862450 | Rush Care, Inc. | Nurse Practitioner | 5334 Dale Drive, Marion, MS 39342 | 2011-08-11 |
| 1134438286 | Lisa M Wallace | Nurse Practitioner | 831 N Theatre Drive, Marion, IN 46952-1701 | 2010-10-06 |
| 1871669275 | Deanna Leah Maclaren | Nurse Practitioner | 6212 Hwy 221 South, Marion, NC 28752 | 2006-11-28 |
| Find all providers in MARION | ||||
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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.