ROBERTA GRAHAM (NPI# 1255652830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255652830 |
| Entity Type | Individual |
| Full Name | ROBERTA GRAHAM |
| Other Name | BOBBI WEYBRIGHT GRAHAM |
| Credential | AGPC-NP |
| Practice Address |
8280 Montgomery Rd Suit 306 Cincinnati OH 45236-6101 |
| Practice Telephone | 8883939799 |
| Practice Fax Number | 9375317797 |
| Mailing Telephone | 8883939799 |
| Mailing Fax Number | 9375317797 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2014-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA.15045-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
RN-183333-COA1 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | MG2196827 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962969980 | Roberta Graham | Licensed Vocational Nurse | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2019-02-26 |
| Street Address |
8280 MONTGOMERY RD SUIT 306 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45236-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598946451 | Peter Sheng Md Inc | Specialist | 8280 Montgomery Rd, Ste 100, Cincinnati, OH 45236 | 2007-11-20 |
| 1306107354 | Carol Eisenhauer Rogers | Nurse Practitioner | 8280 Montgomery Rd, Suite 306, Cincinnati, OH 45236-6101 | 2012-06-06 |
| 1831492032 | Assisted Care By Black Stone of Cincinnati, LLC | Home Health | 8280 Montgomery Rd, Suite 301, Cincinnati, OH 45236-6101 | 2010-12-09 |
| 1386969392 | S & B Healthcare Inc | Home Health | 8280 Montgomery Rd, Suite 202, Cincinnati, OH 45236-6101 | 2010-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400975 | Kimberly Lorraine Carter | Technician | 3870 Alta Avenue, # 1, Cincinnati, OH 45236 | 2020-06-03 |
| 1548880032 | Manu Jacob George | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-24 |
| 1497384374 | Haider Hussain Shah | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Road, The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-03 |
| 1467091868 | Wickshire Deer Park Opco LLC | Assisted Living Facility | 3801 East Galbraith Road, Cincinnati, OH 45236 | 2020-01-02 |
| 1205497633 | Nicholas Theodore D'entremont | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Street - Jewish Hospital, Cincinnati, OH 45236 | 2019-06-26 |
| 1407410699 | Atchayaa Gunasekharan | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road, Cincinnati, OH 45236 | 2019-04-24 |
| 1225591043 | Lauren Elizabeth Hamilton | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2019-04-09 |
| 1972093714 | Hassan Shafique | Student in an Organized Health Care Education/Training Program | 4777 E Galbraith, Cincinnati, OH 45236 | 2018-05-17 |
| 1912494915 | Milica Antic | Student in an Organized Health Care Education/Training Program | The Jewish Hospital, 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2018-04-16 |
| 1376041061 | Angela Eten | Nurse Practitioner | 4700 E Galbraith Rd Ste 301, Cincinnati, OH 45236 | 2018-01-27 |
| Find all providers in zip 45236 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639543176 | Trihealth G LLC | Nurse Practitioner | 10498 Montgomery Rd Ste D, Cincinnati, OH 45242-4416 | 2015-11-20 |
| 1104255447 | Patricia Adkins | Nurse Practitioner | 344 Princess Ct, Cincinnati, OH 45215-1013 | 2013-11-07 |
| 1922449859 | Arianna N Warfel | Nurse Practitioner | 4750 E Galbraith Rd Ste 210, Cincinnati, OH 45236-6705 | 2013-07-08 |
| 1881931764 | Mary Kay Barth | Nurse Practitioner | 5719 Kiplingwood Dr, Cincinnati, OH 45239-6609 | 2013-01-11 |
| 1215245147 | Alexis Santee Ranalli | Nurse Practitioner | 10525 Montgomery Rd., Cincinnati, OH 45242-4401 | 2010-09-14 |
| 1801929559 | Anna Maria Fox | Nurse Practitioner | 2123 Auburn Ave Ste 440, Cincinnati, OH 45219 | 2007-03-13 |
| 1346377835 | Mary Catherine Brady | Nurse Practitioner | 430 Deanview Dr, Cincinnati, OH 45224-1415 | 2007-02-28 |
| 1376603886 | Planned Parenthood Southwest Ohio Region | Nurse Practitioner | 2314 Auburn Avenue, Cincinnati, OH 45219 | 2006-12-12 |
| 1700861234 | Mindi Gardner | Nurse Practitioner | 4600 Montgomery Rd, Ste 105, Cincinnati, OH 45212-2697 | 2005-12-07 |
| 1619958436 | Pamela Phares | Nurse Practitioner | 1401 Steffen Ave, Cincinnati, OH 45215-2338 | 2005-11-09 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45236 |
Please comment or provide details below to improve the information on ROBERTA 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.