STEPHANIE GRAHAM (NPI# 1306238704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306238704 |
| Entity Type | Individual |
| Full Name | STEPHANIE GRAHAM |
| Credential | FNP-BC |
| Practice Address |
100 Brevco Plz Ste 107 Lake St Louis MO 63367-1392 |
| Mailing Address |
1005 Haversham Ct Saint Charles MO 63304-1600 |
| Practice Telephone | 6365613396 |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2014038747 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1740598176 | Stephanie Stephanie Graham | Registered Nurse | 369 Lakeview Dr, Byesville, OH 43723-9795 | 2010-09-20 |
| 1962623363 | Stephanie Elaine Graham | Dentist | 530 E Broadway St, Sparta, IL 62286-1816 | 2007-05-01 |
| 1073520821 | Stephanie Graham | Counselor | 541 Bertonley Ave, Charlotte, NC 28211-1503 | 2006-08-02 |
| 1467934034 | Stephanie Michelle Graham | Counselor | 1513 E Chapman Ave, Fullerton, CA 92831-4013 | 2018-08-30 |
| 1043706856 | Stephanie Graham | Physician Assistant | 11700 W 2nd Pl Ste 350, Lakewood, CO 80228 | 2018-07-04 |
| 1609239318 | Stephanie Graham | Behavioral Analyst | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2016-03-30 |
| 1962811521 | Stephanie V. Graham | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2014-08-07 |
| 1407278781 | Stephanie Lynn Graham | Naturopath | 4862 E Baseline Rd Ste 108, Mesa, AZ 85206-4668 | 2014-01-06 |
| 1497186936 | Stephanie Nicole Graham | Nurse Practitioner | 13067 N Telecom Pkwy, Temple Terrace, FL 33637-0926 | 2013-12-10 |
| Street Address |
100 BREVCO PLZ STE 107 |
| City | LAKE ST LOUIS |
| State | MO |
| Zip Code | 63367-1392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295376697 | Stacy Brown | Counselor | 1216 Flagstone Terrace, Lake St. Louis, MO 63367 | 2019-10-07 |
| 1083172449 | Katie D Schmidt | Nurse Practitioner | 300 Medical Plz Ste 150, Lake St Louis, MO 63367 | 2019-03-05 |
| 1932639739 | Eren Taylor-scaggs | Social Worker | 112 Lake St. Louis Blvd, Lake St. Louis, MO 63367 | 2017-06-14 |
| 1184169203 | Be The Change Counseling Services | Community/Behavioral Health | 206 Centre On The Lake, Lake St. Louis, MO 63367 | 2016-12-28 |
| 1568812535 | Brittanie Weinhaus | Family Medicine | 6261 Ronald Regan Dr Ste #b19, Lake St. Louis, MO 63367 | 2016-06-20 |
| 1821445099 | Matt Beamer | Skilled Nursing Facility | 2885 Technology Drive, Lake St. Louis, MO 63367 | 2016-05-18 |
| 1710349642 | Jennifer Gandolfo | Early Intervention Provider Agency | 710 Abbottsford Ct., Lake St. Louis, MO 63367 | 2016-03-21 |
| 1760862361 | Joaquin Francisco Sumaya | Chiropractor | 11104 Veterans Memorial Pkwy., Lake Saint Louis, MO 63367 | 2015-06-09 |
| 1619214566 | Daniel Scott Terry | Counselor | 1000 Edgewater Pt Ste 401, Lake St Louis, MO 63367 | 2013-01-12 |
| 1437415551 | Cherie Jean Coletta | Nurse Practitioner | 100 Medical Plaza Dr, Emergency Department, Lake Saint Louis, MO 63367 | 2012-04-03 |
| Find all providers in zip 63367 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649382730 | Milton Levin | Family Medicine | 50 Dauphine Dr, Lake St Louis, MO 63367-2008 | 2006-08-31 |
| 1770596983 | Scott K Roos | Family Medicine | 6261 Ronald Reagan Dr, Ste B19, Lake St Louis, MO 63367-2665 | 2006-08-15 |
| 1780645408 | Brian M Smith | Family Medicine | 400 Medical Plz Ste 200, Lake St Louis, MO 63367-1417 | 2006-03-31 |
| 1639718984 | Cheryl Akers | Family Medicine | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2020-01-03 |
| 1053765487 | Patrick Dunleavy Farrell | Family Medicine | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2016-04-22 |
| 1083913479 | Mary Hoang | Family Medicine | 6261 Ronald Reagan Dr Ste B19, Lake St Louis, MO 63367-2665 | 2011-03-24 |
| 1871792796 | Thien-an Hoang | Family Medicine | 200 Medical Plz, Ste 101, Lake St Louis, MO 63367-1379 | 2007-07-11 |
| 1790746071 | Jason B Vangundy | Family Medicine | 300 Medical Plz, Lake St Louis, MO 63367-1481 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596877 | Stephanie R Nicholson | Family Medicine | 4500 S Park Ave, Sedalia, MO 65301-8525 | 2020-10-21 |
| 1053919514 | Kelli Lichte | Family Medicine | 601 S 13 Hwy, Lexington, MO 64067-1511 | 2020-10-15 |
| 1053927228 | Cox- Monett Hospital, Inc. | Family Medicine | 1000 E Hwy 60, Monett, MO 65708 | 2020-09-22 |
| 1104432806 | Jefferson Medical Group | Family Medicine | 807 E Broadway St, Brunswick, MO 65236-1468 | 2020-09-17 |
| 1124633995 | Continuum Family Care LLC | Family Medicine | 2336 S Main St, Maryville, MO 64468-3622 | 2020-09-09 |
| 1326652579 | Linda Diane Watson | Family Medicine | 338 Emerson Rd Apt 104, High Ridge, MO 63049-2530 | 2020-09-04 |
| 1447868005 | Brittany Mechelle Waterworth | Family Medicine | 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 | 2020-07-20 |
| 1013542828 | Johns Healthcare Services LLC | Family Medicine | 2001 Independence St Ste A, Cape Girardeau, MO 63703-5805 | 2020-03-12 |
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1568092732 | Scotland County Memorial Hospital | Family Medicine | 55682 State Highway 6, Edina, MO 63537-4267 | 2020-01-16 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ST LOUIS |
| Zip Code | 63367 |
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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.