MRS. CLEO D GRAHAM (NPI# 1003947086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003947086 |
| Entity Type | Individual |
| Full Name | MRS. CLEO D GRAHAM |
| Credential | R.N.P |
| Practice Address |
111 Howland Ave East Providence RI 02914-3054 |
| Practice Telephone | 4014386609 |
| Mailing Telephone | 4014386609 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
RN23079 | RI | Nursing Service Providers |
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
NPP23079 | RI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CROSS BLUE SHIELD | 22916-4 | 01 |
| RI | NEIGHBORHOOD HEALTH PLAN | 28451 | 01 |
| RI | BLUE CHIP | 410545 | 01 |
| Street Address |
111 HOWLAND AVE |
| City | EAST PROVIDENCE |
| State | RI |
| Zip Code | 02914-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457988198 | Sean C. Duffy | Massage Therapist | 231 Warren Ave., East Providence, RI 02914 | 2020-03-24 |
| 1457905606 | Jeanine Le-kreuzer, Lmhc | Clinic/Center | 3421 Pawtucket Ave, East Providence, RI 02914 | 2019-07-26 |
| 1881113983 | Megan Grace Fitzpatrick | Student in an Organized Health Care Education/Training Program | 51 Milburn Rd, East Providence, RI 02914 | 2017-09-11 |
| 1265719660 | Hilary Elise Bicknell | Physical Therapist | 927 B Warren Ave, East Providence, RI 02914 | 2011-11-14 |
| 1346549037 | Amanda M Hope | Occupational Therapist | 2680 Pawtucket Ave, East Providence, RI 02914 | 2011-03-21 |
| 1780993824 | Shannon Hayes | Physical Therapist | 400 Massaoit Ave, East Providence, RI 02914 | 2010-10-06 |
| 1053623538 | Ricardo Rafael Correa Marquez | Internal Medicine | 900 Warren Avenue, Suite 300, East Providence, RI 02914 | 2010-07-13 |
| 1013231570 | Michael Seidler | Internal Medicine | 20 Catamore Blvd., East Providence, RI 02914 | 2010-03-26 |
| 1053543405 | Ray Rezania | Dentist | 1055 South Broadway, East Providence, RI 02914 | 2009-08-19 |
| 1144464587 | John F Maynard | Urology | Metacomet Office Park, 450 Veterans Parkway, East Providence, RI 02914 | 2009-04-29 |
| Find all providers in zip 02914 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558792663 | Mary Jane Milner | Registered Nurse | 610 Waterman Ave, East Providence, RI 02914-2427 | 2013-11-29 |
| 1811166176 | Margaret Mary Jarrell | Registered Nurse | 450 Veterans Memorial Pkwy, Building 10, East Providence, RI 02914-5300 | 2008-02-20 |
| 1245354190 | Susan Langmack | Registered Nurse | 610 Waterman Ave, East Providence, RI 02914-2427 | 2007-03-18 |
| 1932258381 | Margaret M Campion | Registered Nurse | 610 Waterman Ave, Senior Center, East Providence, RI 02914-2427 | 2007-01-08 |
| 1518024629 | Joanne F Costello | Registered Nurse | 610 Waterman Ave, East Providence, RI 02914 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730674771 | Renee Drolet Dicenso | Registered Nurse | 11 Cherrywood Dr, Greenville, RI 02828-2603 | 2018-06-22 |
| 1346786977 | Prescription Pharmacy Services LLC | Registered Nurse | 285 Governor St Lowr Level, Providence, RI 02906-3237 | 2017-01-06 |
| 1619320421 | Christina Siwy | Registered Nurse | 41 Circledale Dr, Cumberland, RI 02864-3816 | 2016-07-16 |
| 1346675410 | Karen A Bouchard | Registered Nurse | 16 Mason Dr, Cumberland, RI 02864-4140 | 2013-09-09 |
| 1710324918 | Deanna Larson | Registered Nurse | 264 Camp Dixie Rd, Pascoag, RI 02859-2823 | 2013-05-29 |
| 1598101099 | Monique Nicole Fleurant | Registered Nurse | 36 Thomas Leighton Blvd, Cumberland, RI 02864-2220 | 2013-05-12 |
| 1184069676 | Elena M Morgans | Registered Nurse | 43 Brayton Rd, Smithfield, RI 02917-1121 | 2013-05-09 |
| 1225473960 | Mary T Falvey | Registered Nurse | 4 Elizabeth Rd, Barrington, RI 02806-1211 | 2013-05-08 |
| 1144575721 | Donna M Soares | Registered Nurse | 1351 S County Trl Ste 301, East Greenwich, RI 02818-5083 | 2012-07-19 |
| 1881966000 | Cara Moeller | Registered Nurse | 4 High St, Middletown, RI 02842-4920 | 2012-02-03 |
| Find all providers with the same taxonomy | ||||
| City | EAST PROVIDENCE |
| Zip Code | 02914 |
Please comment or provide details below to improve the information on MRS. CLEO D 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.