STEPHANIE GRAHAM (NPI# 1235744582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235744582 |
| Entity Type | Individual |
| Full Name | STEPHANIE GRAHAM |
| Credential | PA-C |
| Practice Address |
1053 Bernice Rd Rockledge FL 32955-2201 |
| Practice Telephone | 8604592007 |
| Mailing Telephone | 8604592007 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9113547 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306238704 | Stephanie Graham | Family Medicine | 100 Brevco Plz Ste 107, Lake St Louis, MO 63367-1392 | 2015-02-23 |
| 1740598176 | Stephanie Stephanie Graham | Registered Nurse | 369 Lakeview Dr, Byesville, OH 43723-9795 | 2010-09-20 |
| 1962623363 | Stephanie Elaine Graham | Dentist | 530 E Broadway St, Sparta, IL 62286-1816 | 2007-05-01 |
| 1073520821 | Stephanie Graham | Counselor | 541 Bertonley Ave, Charlotte, NC 28211-1503 | 2006-08-02 |
| 1467934034 | Stephanie Michelle Graham | Counselor | 1513 E Chapman Ave, Fullerton, CA 92831-4013 | 2018-08-30 |
| 1043706856 | Stephanie Graham | Physician Assistant | 11700 W 2nd Pl Ste 350, Lakewood, CO 80228 | 2018-07-04 |
| 1609239318 | Stephanie Graham | Behavioral Analyst | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2016-03-30 |
| 1962811521 | Stephanie V. Graham | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2014-08-07 |
| 1407278781 | Stephanie Lynn Graham | Naturopath | 4862 E Baseline Rd Ste 108, Mesa, AZ 85206-4668 | 2014-01-06 |
| 1497186936 | Stephanie Nicole Graham | Nurse Practitioner | 13067 N Telecom Pkwy, Temple Terrace, FL 33637-0926 | 2013-12-10 |
| Street Address |
1053 BERNICE RD |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336486752 | Jennifer Lisch Miron | Physician Assistant | 1009 Harvin Way Ste 110, Rockledge, FL 32955 | 2013-01-04 |
| 1851533434 | Kathie Leigh Rosenberger | Physician Assistant | 8 Huntingdon Pike Ste 100, Rockledge, PA 19046-4351 | 2009-03-30 |
| 1093819781 | Debra L Babcock | Physician Assistant | 830 Executive Ln Ste 1110, Rockledge, FL 32955-3595 | 2006-09-12 |
| 1447501226 | Kellie Marie Mueller | Physician Assistant | 1950 Rockledge Blvd, Suite 101, Rockledge, FL 32955-3763 | 2012-09-20 |
| 1427269976 | Makesha Holbrook Curd | Physician Assistant | 1286 Florida Ave S, Rockledge, FL 32955-2484 | 2007-05-25 |
| 1922159177 | Temple Physicians Inc. | Physician Assistant | 120 Huntingdon Pike, Fox Hunt Building Suite 100, Rockledge, PA 19046-4309 | 2007-01-15 |
| 1629167630 | Gary Stuart Rubin | Physician Assistant | 1286 Florida Ave S, Rockledge, FL 32955-2484 | 2006-10-11 |
| 1871528406 | Jason Vogt | Physician Assistant | 110 Longwood Ave, Rockledge, FL 32955-2828 | 2006-07-12 |
| 1639158652 | Cheryl Elizabeth Young | Physician Assistant | 1286 Florida Ave S, Rockledge, FL 32955-2484 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| 1417574450 | Carlos Humberto Jaen Sr. | Physician Assistant | 1685 Sw 17th Ter, Miami, FL 33145-2809 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
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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.