ROBERTA GRAHAM (NPI# 1962969980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962969980 |
| Entity Type | Individual |
| Full Name | ROBERTA GRAHAM |
| Credential | LVN |
| Practice Address |
12371 S Kirkwood Rd Stafford TX 77477-2836 |
| Mailing Address |
3723 Potts Ct Richmond TX 77406-2576 |
| Practice Telephone | 7139959292 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 346696 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255652830 | Roberta Graham | Nurse Practitioner | 8280 Montgomery Rd, Suit 306, Cincinnati, OH 45236-6101 | 2010-06-17 |
| Street Address |
12371 S KIRKWOOD RD |
| City | STAFFORD |
| State | TX |
| Zip Code | 77477-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982651410 | Medcare Pediatric Therapy, Lp | Home Health | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2006-05-29 |
| 1770199119 | Manassawee Rieck | Registered Nurse | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-09-21 |
| 1568072080 | Tyler Yvonne Hoke | Registered Nurse | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-08-10 |
| 1477174498 | Rise Aba Center LLC | Clinic/Center | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-04-30 |
| 1093336018 | Rise Home Health LLC | Home Health | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-04-30 |
| 1275154296 | Rise Staffing LLC | Nursing Care | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-04-30 |
| 1811523236 | Mia Holder | Behavioral Analyst | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-03-17 |
| 1902431513 | Chelsea Lim | Occupational Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-03-04 |
| 1366075905 | Mary Valicek | Occupational Therapist | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-02-21 |
| 1467085720 | Joy F Olurebi | Registered Nurse | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904924 | Joby George Samuel | Pharmacist | 16675 W. Airport, Meadows Place, TX 77477 | 2020-08-28 |
| 1184261851 | Butterfly Wellness, Pllc | Family Medicine | 1250 Texas Parkway Ste A1, Missouri City, TX 77477 | 2019-12-02 |
| 1013564848 | B Williams & Co | Ambulance | 435 Murphy Rd, Suite B1, #233, Stafford, TX 77477 | 2019-08-26 |
| 1033763594 | Sabrina Gonzales-smith | Behavioral Analyst | 10435 Greenbough Dr. Suite 410, Stafford, TX 77477 | 2019-08-01 |
| 1578021986 | Daniel Max & Marcandrea LLC | Optometrist | 11229 W Airport Blvd, Suite 300, Stafford, TX 77477 | 2019-03-05 |
| 1245794783 | All Peoples Choice Healthcare Services Inc | Home Health | 11707 Kenzie Ct, Meadows Place, TX 77477 | 2019-01-29 |
| 1467925867 | Sheila Densie Wiltz | Counselor | 215 Kingsway Dr., Stafford, TX 77477 | 2019-01-08 |
| 1427529312 | Bianca Gil | Behavioral Analyst | 10435 Geenbough Dr, St 410, Stafford, TX 77477 | 2018-12-17 |
| 1508349770 | Cedric Ita Eyo | Counselor | 10500 Fountain Lake Drive, Apt. 428, Stafford, TX 77477 | 2018-09-12 |
| 1386126712 | Enajite Yvonne Omezi | Registered Nurse | 3001 Dove Country Drive, Apt 1809, Stafford, TX 77477 | 2018-09-01 |
| Find all providers in zip 77477 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063970424 | Patricia Joseph | Licensed Vocational Nurse | 1025 Dulles Ave Apt 1128, Stafford, TX 77477-5746 | 2019-03-05 |
| 1255804571 | Jessica Evans | Licensed Vocational Nurse | 12903 Sugar Ridge Blvd Apt 3004, Stafford, TX 77477-3141 | 2019-01-09 |
| 1588989974 | Elicia Hannon | Licensed Vocational Nurse | 12125 Tambourine Dr, Stafford, TX 77477-1242 | 2010-03-29 |
| 1336379486 | Jamey Letrise Young | Licensed Vocational Nurse | 1025 Dulles Ave Apt 534, Stafford, TX 77477-5742 | 2009-07-23 |
| 1235399569 | Rhonda Renee Wynn | Licensed Vocational Nurse | 10498 Fountain Lake Dr, # 413, Stafford, TX 77477-3758 | 2008-06-10 |
| 1538792890 | Yolanda Galindo | Licensed Vocational Nurse | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2020-02-14 |
| 1851938344 | Myshonique M Jackson | Licensed Vocational Nurse | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2019-12-04 |
| 1922643469 | Jamie Louise Verrett | Licensed Vocational Nurse | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2019-11-07 |
| 1013560325 | Patricia Ann Allen | Licensed Vocational Nurse | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2019-07-17 |
| 1225681539 | Judd Michael Prioux | Licensed Vocational Nurse | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2019-07-17 |
| Find all providers in STAFFORD | ||||
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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.