DR. NICOLE RENEE GRAHAM (NPI# 1285809673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285809673 |
| Entity Type | Individual |
| Full Name | DR. NICOLE RENEE GRAHAM |
| Other Name | DR. NICOLE RENEE EDMOND |
| Credential | M.D. |
| Practice Address |
901 Ne Independence Ave Lees Summit MO 64086-5544 |
| Practice Telephone | (816) 347-3223 |
| Mailing Telephone | (816) 347-3223 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2016033090 | MO | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01-52448 | CT | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
TRN15706 | FL | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME111414 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 184 Liberty St, Yale New Haven Psychiatric Hospital, New Haven, CT 065191625 | 2036689907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093377863 | Nicole Graham | Psychologist | 3941 Duke Ln, Abilene, TX 79602-7475 | 2019-07-02 |
| 1356853451 | Nicole Anise Graham | Licensed Practical Nurse | 37 Matsunaye Dr, Medford, NY 11763-4112 | 2017-10-30 |
| 1568742435 | Nicole Graham | Psychologist | 11760 W Sample Rd Ste 103, Coral Springs, FL 33065-3199 | 2011-08-24 |
| 1972737666 | Nicole Elizabeth Graham | Licensed Practical Nurse | 5 Georgetown Ct, Madison, WI 53719-2205 | 2009-05-08 |
| 1538130638 | Nicole Graham | Clinical Nurse Specialist | 115 Locust Sreet, Santa Cruz, CA 95060 | 2006-01-28 |
| 1104485432 | Nicole Graham | Family Medicine | 1260 E Woodland Ave Ste 200, Springfield, PA 19064-3956 | 2019-06-11 |
| 1346807989 | Nicole Marie Graham | Behavior Technician | 102 S Tejon St Ste 1100, Colorado Springs, CO 80903-2253 | 2019-05-20 |
| 1386123032 | Nicole Morgan Graham | Occupational Therapist | 182 W Main St, Conway, NH 03818-6140 | 2018-08-13 |
| 1245778182 | Nicole Graham | Physician Assistant | 1401 W Innes St, Salisbury, NC 28144-2574 | 2017-02-10 |
| 1437550886 | Nicole Graham | Occupational Therapist | 75 Calhoun St, Charleston, SC 29401-3538 | 2014-09-04 |
| Street Address |
901 NE INDEPENDENCE AVE |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-5544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851382063 | Tiwana Charisse Allen | Nurse Practitioner | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2005-11-04 |
| 1336757053 | Katie Willis | Social Worker | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2020-07-20 |
| 1992364814 | Compass Health, Inc. | Clinic/Center | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2019-06-13 |
| 1114424462 | Shelby Lynn Barber | Social Worker | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2018-04-11 |
| 1619488145 | Brittany Heaton | Counselor | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2017-10-24 |
| 1174052476 | Rachelle Endrigan Renfro | Licensed Practical Nurse | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2017-06-08 |
| 1477080471 | Taunya Lee Meierarend | Registered Nurse | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2017-05-22 |
| 1427582717 | Brandi Newcomer | Licensed Practical Nurse | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2017-04-13 |
| 1306383955 | Jane Cooper-henderson | Social Worker | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2017-01-20 |
| 1659817724 | Monica Kale | Social Worker | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2017-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831278647 | Maria Elena Otayza-navato | Psychiatry & Neurology | 300 Se 2nd St Ste 201, Lees Summit, MO 64063-2759 | 2006-11-03 |
| 1891872503 | Kcrcmd Inc | Psychiatry & Neurology | 254 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2006-11-01 |
| 1295706430 | Michael E Williams | Psychiatry & Neurology | 4045 Ne Lakewood Way Ste 130, Lees Summit, MO 64064 | 2006-01-27 |
| 1386614949 | James Fleming | Psychiatry & Neurology | 618 Se 4th St, Lees Summit, MO 64063-2908 | 2006-01-25 |
| 1396723706 | Casey S Prough | Psychiatry & Neurology | 4045 Ne Lakewood Way, Suite 130, Lees Summit, MO 64064-1799 | 2006-01-05 |
| 1316244742 | Amanda Sells | Psychiatry & Neurology | 1515 Ne Rice Rd, Lees Summit, MO 64086-5849 | 2011-02-21 |
| 1033256961 | Sreekumar Nair Md LLC | Psychiatry & Neurology | 4031 Ne Lakewood Way, Ste 100, Lees Summit, MO 64064 | 2007-01-31 |
| 1710067822 | Mohammed Azher Mirza | Psychiatry & Neurology | 4045 Ne Lakewood Way, Ste 130, Lees Summit, MO 64064-1995 | 2006-10-16 |
| 1821193228 | John A Francis | Psychiatry & Neurology | 600 Nw Murray Rd, Ste 204, Lees Summit, MO 64081 | 2006-09-13 |
| 1376652149 | Krishna Manej Divadeenam | Psychiatry & Neurology | 200 Ne Missouri Rd, Suite 302, Lees Summit, MO 64086-4722 | 2006-08-29 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64086 |
Please comment or provide details below to improve the information on DR. NICOLE RENEE GRAHAM.
| 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.