ANNA GRAHAM (NPI# 1831753045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831753045 |
| Entity Type | Individual |
| Full Name | ANNA GRAHAM |
| Credential | APRN, AGPCNP |
| Practice Address |
428 Columbus Ave New Haven CT 06519-1233 |
| Mailing Address |
400 Columbus Avenue Credentialing Specialist New Haven CT 06519-1233 |
| Practice Telephone | 2035033000 |
| Practice Fax Number | 2035033224 |
| Mailing Telephone | 2035033174 |
| Mailing Fax Number | 2035036515 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
280394 | NC | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
8309 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004235900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Manning Dr, Chapel Hill, NC 275144220 | 9849741000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265915854 | Anna Graham | Pharmacy Technician | 11 Liberty Ln, Harrison, ME 04040-4143 | 2018-09-11 |
| 1851883169 | Anna Marie Graham Vii | Home Health | 2402 Mann, Houston, TX 77093 | 2018-06-01 |
| 1558730796 | Anna Weaver Graham | Pharmacist | 1589 Skeet Club Rd Ste 140, High Point, NC 27265-8818 | 2015-09-17 |
| 1962838631 | Anna Graham | Behavioral Analyst | 316 Silver Grove St, Las Vegas, NV 89144-4104 | 2013-09-25 |
| 1457466179 | Anna R Graham | Pathology | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2006-08-21 |
| Street Address |
428 COLUMBUS AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932189370 | Catherine Hobbs Sharafanowich | Pharmacist | 428 Columbus Ave, Pharmacy Dept, New Haven, CT 06519-1233 | 2006-01-20 |
| 1407463235 | Jenna Kaitlyn Cordeiro | Physician Assistant | 428 Columbus Ave, New Haven, CT 06519-1233 | 2020-09-25 |
| 1588271605 | Bria Fernandes | Social Worker | 428 Columbus Ave, New Haven, CT 06519-1233 | 2020-09-24 |
| 1225654056 | Elizabeth Talbot | Student in an Organized Health Care Education/Training Program | 428 Columbus Ave, New Haven, CT 06519-1233 | 2020-06-17 |
| 1013559624 | Rocca L Perruccio | Nurse Practitioner | 428 Columbus Ave, New Haven, CT 06519-1233 | 2019-10-15 |
| 1891258505 | Jennifer Hodio | Nurse Practitioner | 428 Columbus Ave, New Haven, CT 06519-1233 | 2019-04-09 |
| 1255815247 | Alicia M Dias | Nurse Practitioner | 428 Columbus Ave, New Haven, CT 06519-1233 | 2018-09-17 |
| 1275050056 | Zhuoshu Deng | Nurse Practitioner | 428 Columbus Ave, New Haven, CT 06519-1233 | 2017-08-23 |
| 1437694726 | Samantha N Nesbeth | Nurse Practitioner | 428 Columbus Ave, Internal Medicine, New Haven, CT 06519 | 2016-12-22 |
| 1437691888 | Robert George | Pharmacist | 428 Columbus Ave, New Haven, CT 06519-1233 | 2016-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409222 | Terance A Anderson | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2019-04-16 |
| 1730667270 | Michael Riley Levien | Nurse Practitioner | 874 Howard Ave, New Haven, CT 06519-1106 | 2018-08-06 |
| 1972098762 | Hung Le | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510 | 2018-06-25 |
| 1295286110 | Qian Zeng | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2016-10-14 |
| 1922463835 | Thao T Nguyen | Nurse Practitioner | 874 Howard Ave, Basement - Room 007, New Haven, CT 06519-1106 | 2015-12-18 |
| 1982072591 | Shannon P Kukulka | Nurse Practitioner | 874 Howard Ave, New Haven, CT 06519-1106 | 2015-09-14 |
| 1669853800 | Jamie Stone Feingold | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2015-06-13 |
| 1134535859 | Rachel M Pisani | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2014-07-02 |
| 1023223633 | Innovative Health Concepts | Nurse Practitioner | 1201 Daly Dr, New Haven, IN 46774-1891 | 2007-05-14 |
| 1962471342 | Zina I Crescenzi | Nurse Practitioner | 1450 Chapel Street, New Haven, CT 06511 | 2006-03-16 |
| Find all providers in NEW HAVEN | ||||
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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.