KIMBERLY GRAHAM (NPI# 1982660395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982660395 |
| Entity Type | Individual |
| Full Name | KIMBERLY GRAHAM |
| Credential | FNP |
| Practice Address |
3502 9th St Ste 110 Lubbock TX 79415-3367 |
| Mailing Address |
5219 City Bank Pkwy Ste 35 Lubbock TX 79407-3544 |
| Practice Telephone | 8067628461 |
| Practice Fax Number | 8067610761 |
| Mailing Telephone | 8067857676 |
| Mailing Fax Number | 8067857685 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP110475 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 092939002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922515253 | Kimberly Graham | Licensed Practical Nurse | 1009 Broadway St, Elmira, NY 14904-2503 | 2018-01-09 |
| 1730537044 | Kimberly Graham | Speech-Language Pathologist | 815 Kristen Lane, Hahira, GA 31632 | 2016-05-26 |
| 1083021851 | Kimberly Michelle Graham | Nurse Practitioner | 11550 Common Oaks Dr Ste 100, Raleigh, NC 27614-8093 | 2014-07-14 |
| 1518297092 | Kimberly Graham | Social Worker | 9649 W. 55th Street, Countryside, IL 60525-3632 | 2010-01-06 |
| 1457818759 | Kimberly Graham | Nurse Practitioner | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2019-02-23 |
| 1225419013 | Kimberly Graham | Social Worker | 5151 Monroe St, Toledo, OH 43623-3462 | 2015-06-17 |
| 1568715696 | Kimberly Ashley Graham | Pharmacist | 545 Cotton Gin Rd, Montgomery, AL 36117-3552 | 2012-10-26 |
| 1275821068 | Kimberly Ann Graham | Pharmacist | 4601 Us Highway 220 N, Summerfield, NC 27358-9207 | 2011-07-14 |
| 1750519203 | Kimberly Graham | Internal Medicine | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2009-06-23 |
| 1831245166 | Kimberly Graham | Social Worker | 1804 Highway 45 Byp, Jackson, TN 38305-4436 | 2007-01-27 |
| Street Address |
3502 9TH ST STE 110 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79415-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063478527 | Kimberly Billingsley | Nurse Practitioner | 3502 9th St Ste 110, Lubbock, TX 79415-3367 | 2006-04-25 |
| 1851583611 | Shannon Dee Yarbrough | Internal Medicine | 3502 9th St Ste 110, Lubbock, TX 79415-3367 | 2007-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831569540 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3502 9th St Ste 280, Lubbock, TX 79415 | 2015-10-07 |
| 1922447457 | Fnu Parijat Kumar | Physical Therapist | 2717 3rd Street, Aptt 803, Lubbock, TX 79415 | 2013-06-18 |
| 1851575906 | Diego Rivera, M.d., P.a. | Family Medicine | 111 University Ave, Lubbock, TX 79415 | 2007-12-26 |
| 1730206632 | Kathleen Brinkman Felts | Physical Therapist | 3710 4th Street, Lubbock, TX 79415 | 2007-03-23 |
| 1568508521 | Horace Rueben Sharp Jr. | Optometrist | 1911 4th St, Lubbock, TX 79415 | 2007-01-29 |
| 1699876201 | Patricia R. Arledge | Plastic Surgery | 3502 9th St., Suite 270, Lubbock, TX 79415 | 2006-09-26 |
| 1245330018 | Perlita Molina Sambrano-tandoc | Nurse Practitioner | 602 East Indiana Avenue, Lubbock, TX 79415 | 2006-09-22 |
| 1639199862 | Justin Tidwell | Emergency Medicine | 604 Indiana, Lubbock, TX 79415 | 2006-07-20 |
| 1912944059 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3301 Clovis Road, Lubbock, TX 79415 | 2006-05-31 |
| 1497709265 | Byron Wayne Schoettle | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-05-19 |
| Find all providers in zip 79415 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911859 | Amber Marie Bowman | Nurse Practitioner | 5106 59th St, Lubbock, TX 79414-4312 | 2020-10-29 |
| 1609475219 | Jonathan-michael Aaron Sisson | Nurse Practitioner | 7421 104th St, Lubbock, TX 79424-6079 | 2020-10-23 |
| 1174134753 | Rebecca Stephanie Castillo | Nurse Practitioner | 5528 109th St, Lubbock, TX 79424-7680 | 2020-08-16 |
| 1508487398 | Mark Angelo Padolina | Nurse Practitioner | 1101 Oshkosh Ave, Lubbock, TX 79416-3810 | 2020-05-03 |
| 1841826724 | Leticia Luna Flores Cooper | Nurse Practitioner | 2511 60th St, Lubbock, TX 79413-5641 | 2020-03-23 |
| 1952931693 | Camella Dawn Ladd | Nurse Practitioner | 1307 Martin Luther King Blvd, Lubbock, TX 79403-5329 | 2020-01-22 |
| 1962042598 | Wendy Geraldine Avalos | Nurse Practitioner | 9304 Primrose Ave, Lubbock, TX 79424-6799 | 2020-01-11 |
| 1619516325 | Jessica Krueger | Nurse Practitioner | 5502 103rd St, Lubbock, TX 79424-6417 | 2019-12-27 |
| 1417596438 | Alicia Michelle Powell | Nurse Practitioner | 6102 82nd St Ste 14, Lubbock, TX 79424-0840 | 2019-12-23 |
| 1376181537 | Ashley Nicole White | Nurse Practitioner | 5614 100th St, Lubbock, TX 79424-6268 | 2019-12-18 |
| Find all providers in LUBBOCK | ||||
Please comment or provide details below to improve the information on KIMBERLY GRAHAM.
| 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.