SHELLEY RAE GRAHAM I (NPI# 1285178194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285178194 |
| Entity Type | Individual |
| Full Name | SHELLEY RAE GRAHAM I |
| Credential | RT |
| Practice Address |
2201 Central Ave Saint Petersburg FL 33713-8844 |
| Practice Telephone | 7278936027 |
| Practice Fax Number | 7278936956 |
| Mailing Telephone | 7278936027 |
| Mailing Fax Number | 7278936956 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
9830 | FL | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588900682 | Shelley Montina Graham | Physical Therapy Assistant | 400 Ranger St, Hereford, TX 79045-2812 | 2012-12-17 |
| Street Address |
2201 CENTRAL AVE |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33713-8844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821532748 | Ashley Henson | Radiologic Technologist | 2201 Central Ave, Saint Petersburg, FL 33713-8844 | 2016-12-12 |
| 1710421623 | Michael Nyeki | Radiologic Technologist | 2201 Central Ave, Saint Petersburg, FL 33713-8844 | 2016-12-12 |
| 1871037796 | Erin Hamm | Radiologic Technologist | 2201 Central Ave, Saint Petersburg, FL 33713-8844 | 2016-12-12 |
| 1265877930 | Dawn Suksanong | Psychologist | 2201 Central Ave, Saint Petersburg, FL 33713-8844 | 2013-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| Taxonomy Code | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821532748 | Ashley Henson | Radiologic Technologist | 2201 Central Ave, Saint Petersburg, FL 33713-8844 | 2016-12-12 |
| 1710421623 | Michael Nyeki | Radiologic Technologist | 2201 Central Ave, Saint Petersburg, FL 33713-8844 | 2016-12-12 |
| 1871037796 | Erin Hamm | Radiologic Technologist | 2201 Central Ave, Saint Petersburg, FL 33713-8844 | 2016-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952890634 | Mazel Medical Center Inc | Radiologic Technologist | 8150 Sw 8th St Ste 119, Miami, FL 33144-4275 | 2018-05-08 |
| 1992236137 | Manatee Memorial Hospital Lp | Radiologic Technologist | 300 Riverside Dr E Ste 1400, Bradenton, FL 34208-1002 | 2017-03-21 |
| 1598213746 | Pines Imaging Center LLC | Radiologic Technologist | 9696 Pines Blvd, Pembroke Pines, FL 33024-6246 | 2016-09-16 |
| 1003280280 | Upright Open Mri, LLC | Radiologic Technologist | 18922-24 S Dixie Highway, Cutler Bay, FL 33157 | 2015-11-25 |
| 1073904876 | Mri Pluss Inc. | Radiologic Technologist | 9790 Sw 24 St, Miami, FL 33165 | 2015-02-16 |
| 1376834721 | Nog Diagostic | Radiologic Technologist | 3500hollywood Blvd, Hollywood, FL 33021 | 2011-04-20 |
| 1710115324 | Carol Beth Haring | Radiologic Technologist | 504 49th St E, Bradenton, FL 34208-5838 | 2009-06-23 |
| 1164676722 | Plantation Open Mri, LLC | Radiologic Technologist | 4331 N Federal Hwy Ste 200, Fort Lauderdale, FL 33308-5252 | 2008-11-10 |
| 1922263532 | Jacksonville Orthopaedic Institute Inc | Radiologic Technologist | 436 Jacksonville Dr, Jacksonville Beach, FL 32250-3812 | 2008-07-23 |
| 1891915583 | Clearview Imaging LLC | Radiologic Technologist | 3707 W Hamilton Ave, Tampa, FL 33614-4067 | 2007-04-26 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33713 |
Please comment or provide details below to improve the information on SHELLEY RAE GRAHAM I.
| 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.