STACEY QUEEN GRAHAM (NPI# 1598002818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598002818 |
| Entity Type | Individual |
| Full Name | STACEY QUEEN GRAHAM |
| Practice Address |
4550 Shenadoah Ave Roanoke VA 24017 |
| Mailing Address |
2447 Tillett Rd Sw Roanoke VA 24015 |
| Practice Telephone | 5409822860 |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972073575 | Stacey Traylor Graham | Registered Nurse | 3419 Main St, Newberry, SC 29108-4145 | 2018-11-27 |
| 1811441264 | Stacey Marie Graham | Nurse Practitioner | 111 S Grant Ave, Columbus, OH 43215-4701 | 2016-08-14 |
| 1841699527 | Stacey Parrish Graham | Pharmacist | 10050 Glenwood Ave, Raleigh, NC 27617-8436 | 2014-08-18 |
| 1083963532 | Stacey Deanne Graham | Nurse Practitioner | 888 Lakeside Vlg Commons, Chico, CA 95928-3979 | 2012-08-30 |
| 1215203138 | Stacey A Graham | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2012-03-25 |
| 1043526155 | Stacey B Graham | Nurse Practitioner | 2230 Sw 19th Avenue Rd, Ocala, FL 34471-1391 | 2010-08-26 |
| 1003045956 | Stacey L Graham | Counselor | 608 Wright Ave, Alma, MI 48801-1600 | 2009-07-13 |
| 1750583050 | Stacey Graham | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2007-05-31 |
| Street Address |
4550 SHENADOAH AVE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083132450 | Kuumba Community Health & Wellness Center, Inc. | Pharmacy | 3716 Melrose Ave Nw Suite 130, Roanoke, VA 24017 | 2017-09-06 |
| 1467880484 | Mitzi Cotton | Social Worker | 2021 Dansbury Drive, Roanoke, VA 24017 | 2013-10-30 |
| 1366760506 | Tammy L Tomlinson | Physical Therapist | 4550 Shenandoah Avenue, Virginia Veterans Care Center, Roanoke, VA 24017 | 2010-05-12 |
| 1588817712 | Delphine Anita Childress | Registered Nurse | 2111 Temple Drive Nw, Roanoke, VA 24017 | 2008-10-31 |
| 1447471933 | Cathy Lucas | Physical Therapy Assistant | 4550 Shenandoah Ave, Roanoke, VA 24017 | 2007-05-01 |
| 1134214968 | Planned Parenthood South Atlantic | Clinic/Center | 2207 Peters Creek Rd Nw, Roanoke, VA 24017 | 2006-10-04 |
| 1871684902 | Janet Susan Sprouse | Counselor | 1301 Peters Creek Rd Nw, Roanoke, VA 24017 | 2006-09-27 |
| 1497764906 | B Alison Allsbrook | Social Worker | 3716 Melrose Avenue, Nw, Roanoke, VA 24017 | 2006-08-05 |
| 1427027341 | Goodwill Industries of The Valleys - Roanoke | Day Training, Developmentally Disabled Services | 2502 Melrose Avenue Nw, Roanoke, VA 24017 | 2006-03-14 |
| 1558369827 | Victor H Bell | Family Medicine | 3716 Melrose Ave Nw, Roanoke, VA 24017 | 2005-07-12 |
| Find all providers in zip 24017 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427688670 | Ashley N Ingram | Occupational Therapist | 8249 Williamson Rd, Roanoke, VA 24019-6951 | 2020-01-16 |
| 1740820828 | Legacy Healthcare Services Inc | Occupational Therapist | 3365 Ogden Rd, Roanoke, VA 24018-1151 | 2020-01-07 |
| 1932677432 | Christina Marie Cornick | Occupational Therapist | 806 Wasena Ave Sw Apt 409, Roanoke, VA 24015-5354 | 2018-11-02 |
| 1487156642 | Ashley Nicole Ries | Occupational Therapist | 605 N Jefferson St, Roanoke, VA 24016-1401 | 2018-03-05 |
| 1962915066 | Stephanie A Peck | Occupational Therapist | 1327 Grandin Rd Sw # 243, Roanoke, VA 24015-2349 | 2017-11-10 |
| 1063878882 | Mary Antoinette Lewis | Occupational Therapist | 3029 Winterberry Dr, Roanoke, VA 24018-2865 | 2016-01-08 |
| 1588058176 | Elizabeth Anne Landry | Occupational Therapist | 2228 Mountain View Ter Sw, Roanoke, VA 24015-5544 | 2015-03-23 |
| 1538550009 | Renee Loren Ferris | Occupational Therapist | 2343 Moir St Ne, Roanoke, VA 24012-6527 | 2015-02-05 |
| 1679961312 | Germaine Largen | Occupational Therapist | 2554 Winifred Dr Sw, Roanoke, VA 24018-2508 | 2015-01-05 |
| 1689083974 | Ashley Berger | Occupational Therapist | 901 Byrne St Sw, Roanoke, VA 24015-5547 | 2014-08-12 |
| Find all providers in ROANOKE | ||||
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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.