MR. JEREMY JAYME GRAHAM (NPI# 1841552924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841552924 |
| Entity Type | Individual |
| Full Name | MR. JEREMY JAYME GRAHAM |
| Credential | RN, MSN, NP-C |
| Practice Address |
1100 S Eliseo Dr Ste 1 Greenbrae CA 94904 |
| Mailing Address |
8 Locksley Ave Apt 7f San Francisco CA 94122-3849 |
| Practice Telephone | 4155145000 |
| Practice Fax Number | 4155025550 |
| Mailing Telephone | 6096748193 |
| Mailing Fax Number | 4155025550 |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2018-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN601208 | PA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 829229 | CA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 26NR14301200 | NJ | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 22686 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
22686 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 S Eliseo Dr Ste 1, Greenbrae, CA 949042017 | 4155145000 | 4155025550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538643408 | Jeremy A Graham | Counselor | 2801 C Ct, Ashtabula, OH 44004-4577 | 2018-09-18 |
| 1356503700 | Jeremy Gordon Graham | Dentist | 78361 Highway 25, Folsom, LA 70437-3320 | 2008-06-26 |
| 1851599211 | Jeremy Robert Graham | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2007-07-06 |
| 1093767303 | Jeremy D Graham | Internal Medicine | 914 W Carlisle Ave, Spokane, WA 99205 | 2006-05-16 |
| Street Address |
1100 S ELISEO DR STE 1 |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| 1386187623 | Marisol Hernandez Martinez | Physician Assistant | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904-2017 | 2016-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1477765998 | Marcella Louise Brink | Social Worker | 250 Bon Air Rd., Greenbrae, CA 94904 | 2007-05-04 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184279770 | Anjali Asrani | Nurse Practitioner | 900 S Eliseo Dr Ste 203, Greenbrae, CA 94904-2153 | 2019-08-09 |
| 1104082155 | Carrie Dorsey-higdon | Nurse Practitioner | 1100 S Eliseo Dr Ste 2, Greenbrae, CA 94904-2017 | 2008-07-30 |
| 1073880787 | Marisa Woods | Nurse Practitioner | 350 Bon Air Ctr, Suite 200, Greenbrae, CA 94904-3000 | 2011-11-23 |
| 1407183858 | Oksana Sytova | Nurse Practitioner | 350 Bon Air Ctr, Suite 200, Greenbrae, CA 94904-3000 | 2009-11-05 |
| 1780677963 | Janet Patricia Miller-melka | Nurse Practitioner | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
| 1447851324 | Anna Patricia Torres | Nurse Practitioner | 1158 Santa Lucia Dr, Pittsburg, CA 94565-7615 | 2020-11-05 |
| 1447851647 | Melanie Ganotisi | Nurse Practitioner | 11541 Blucher Ave Unit 125, Granada Hills, CA 91344-4362 | 2020-11-04 |
| 1659971729 | Raquel Y Mccarthy | Nurse Practitioner | 334 Via Vera Cruz Ste 257, San Marcos, CA 92078-2643 | 2020-10-28 |
| 1689274607 | Aleksandra Zaitseva | Nurse Practitioner | 6850 Sepulveda Blvd Ste 215, Van Nuys, CA 91405-4450 | 2020-10-28 |
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1861092355 | Vilma Estrada | Nurse Practitioner | 37945 28th St E, Palmdale, CA 93550-5521 | 2020-10-26 |
| 1871192492 | Folashade Jayeoba | Nurse Practitioner | 7453 Tucson Ln, Fontana, CA 92336-0712 | 2020-10-23 |
| 1467051391 | Careforyou LLC | Nurse Practitioner | 806 14th St, Modesto, CA 95354-1023 | 2020-10-21 |
| 1427657550 | Adriana Sarah Pettross | Nurse Practitioner | 35286 Vista De Todo, Capistrano Beach, CA 92624-1847 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.