MRS. ELYSA C. GRAHAM (NPI# 1174989792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174989792 |
| Entity Type | Individual |
| Full Name | MRS. ELYSA C. GRAHAM |
| Other Name | MRS. ELYSA C. KERR |
| Credential | DNP, FNP-C |
| Practice Address |
1919 Boulevard St Ste A Greensboro NC 27407-4595 |
| Mailing Address |
1009 Chatfield Dr Greensboro NC 27410-3807 |
| Practice Telephone | 3058018026 |
| Mailing Telephone | 3058018026 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2020-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 1-129494 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
271750 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5009266 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
5009266 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
5009266 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3006 W Sedgefield Dr, Greensboro, NC 274077313 | 3058018026 | |
| 1009 Chatfield Dr, Greensboro, NC 274103807 | 3058018026 | |
| 309 E Cornwallis Dr, Greensboro, NC 274085103 | 8663892727 | 4016529787 |
| 300 Mack Rd, Asheboro, NC 272051066 | 3366251172 | 3366256434 |
| Street Address |
1919 BOULEVARD ST STE A |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27407-4595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713528 | Integrity Health for Wellness | Clinic/Center | 1919 Boulevard St Ste A, Greensboro, NC 27407-4595 | 2020-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326019 | Marie Louise Phillips | Behavior Technician | 111 Domona Dr, Unit 6, Greensboro, NC 27407 | 2020-08-13 |
| 1306472709 | Blondine Yvonne Wynn | Home Health Aide | 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 | 2020-03-17 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1215456769 | Tiffany R. Wright | Massage Therapist | 317 H South Westgate Drive, Greensboro, NC 27407 | 2017-09-15 |
| 1992225676 | Kendra Edwards | Social Worker | 1 Centerview Dr Ste 103, Greensboro, NC 27407 | 2017-06-22 |
| 1477902674 | Triad Integrative Wellness Center Inc | Acupuncturist | 315j South Westgate Dr, Greensboro, NC 27407 | 2016-06-08 |
| 1083098354 | Kathryn Theall | Counselor | 1901 Adams Farm Pkwy, Greensboro, NC 27407 | 2015-07-16 |
| 1962886333 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 5710-w West Gate City Blvd, Greensboro, NC 27407 | 2015-07-16 |
| 1619356177 | Lindsey King | Registered Nurse | 302 Pomona Drive, Greensboro, NC 27407 | 2015-05-29 |
| 1255737664 | M.a.p.p.s. | Clinic/Center | 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 | 2014-11-12 |
| Find all providers in zip 27407 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513573 | Deanna Zieglowsky Michaux | Nurse Practitioner | 3803 Cardinal Ct, Greensboro, NC 27410-9139 | 2020-09-18 |
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1871145912 | Jasmine Mcentyre | Nurse Practitioner | 605 College Road, Greensboro, NC 27410-4101 | 2019-07-09 |
| 1831673821 | Kathryn Monet Bradshaw | Nurse Practitioner | 1105 Mcdowell Dr, Greensboro, NC 27408-6008 | 2018-09-17 |
| 1093296477 | Adebimpe Abimbola Olofintuyi | Nurse Practitioner | 6000 Black Willow Dr, Greensboro, NC 27405-8202 | 2018-08-23 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1952890824 | Peace Dzigbordi Dormon | Nurse Practitioner | 5695 New Avedon Dr, Greensboro, NC 27455-8399 | 2018-05-07 |
| 1588153316 | Caitlyn Cook Johnston | Nurse Practitioner | 1000 Cowles Clinc Way Ste D-300, Greensboro, GA 30642-5289 | 2018-05-07 |
| 1992214357 | Jennifer Lynn Chatmon | Nurse Practitioner | 307 Pisgah Church Rd Ste J, Greensboro, NC 27455-2758 | 2017-09-28 |
| 1578084034 | Cone Health Connected Care, LLC | Nurse Practitioner | 2800 Lawndale Dr Ste 109, Greensboro, NC 27408 | 2017-07-05 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27407 |
Please comment or provide details below to improve the information on MRS. ELYSA C. 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.