RAGAN NICOLE GRAVES (NPI# 1023307741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023307741 |
Entity Type | Individual |
Full Name | RAGAN NICOLE GRAVES |
Credential | APRN |
Practice Address |
2109 Club Vista Pl Louisville KY 40245-5224 |
Mailing Address |
Po Box 43896 Louisville KY 40253-0896 |
Practice Telephone | 5029318331 |
Practice Fax Number | 5023483275 |
Mailing Telephone | (502) 931-8331 |
Mailing Fax Number | 5023483275 |
Enumeration Date | 2011-04-04 |
Last Update Date | 2017-08-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3006718 | KY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100158290 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649758327 | Ragan Graves | Counselor | 2209 Abbott Martin Rd Apt 1-00, Nashville, TN 37215-2511 | 2018-08-03 |
Street Address |
2109 CLUB VISTA PL |
City | LOUISVILLE |
State | KY |
Zip Code | 40245-5224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043264641 | Sandeep Kapoor | Internal Medicine | 2109 Club Vista Pl, Business Office, Louisville, KY 40245-5224 | 2006-05-19 |
1437632577 | Teresa Mcfadden | Nurse Practitioner | 2109 Club Vista Pl, Louisville, KY 40245-5224 | 2018-09-14 |
1063706075 | Shannon Gagliardi | Nurse Practitioner | 2109 Club Vista Pl, Louisville, KY 40245-5224 | 2011-06-07 |
1235469255 | Sandeep Kapoor, Pllc | Nurse Practitioner | 2109 Club Vista Pl, Louisville, KY 40245-5224 | 2010-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083247753 | Stepping Stones Pediatric Therapy, LLC | Early Intervention Provider Agency | 330 Cranbury Way, Louisville, KY 40245 | 2020-02-20 |
1790324333 | Joseph Strano | Pharmacist | 12450 Lagrange Road, Louisville, KY 40245 | 2019-12-30 |
1174160725 | Anne S Hill | Technician | 16621 Taunton Vale Rd, Louisville, KY 40245 | 2019-12-03 |
1750808937 | Amy Judy | Assistant Behavior Analyst | 4512 Meadowlark Manor Dr, Louisville, KY 40245 | 2017-08-28 |
1104356567 | Mmr Cardiovascular Consulting LLC | Internal Medicine | 1101 Glenlake Way, Louisville, KY 40245 | 2017-06-18 |
1952830135 | Staci Marie Trofimov | Dietitian, Registered | 13008 Willow Forest Drive, Louisville, KY 40245 | 2017-06-09 |
1629524913 | Forefront Dermatology, S.c. | Dermatology | 159 S. English Station Road, Louisville, KY 40245 | 2016-08-28 |
1861867830 | Jamila Hadden | Counselor | 111 Parkview Dr., Louisville, KY 40245 | 2015-12-02 |
1538570312 | Brian Johnson | Case Manager/Care Coordinator | 4717 Middlesex Drive, 4717 Middlesex Drive, Louisville, KY 40245 | 2014-05-14 |
1033535828 | Genesis Eldercare Physician Services LLC | Nurse Practitioner | 16605 Chestnut Glen Pl, Louisville, KY 40245 | 2014-03-17 |
Find all providers in zip 40245 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40245 |
Please comment or provide details below to improve the information on RAGAN NICOLE GRAVES.
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.