REBECCA GRAHAM (NPI# 1447747811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447747811 |
| Entity Type | Individual |
| Full Name | REBECCA GRAHAM |
| Credential | CRNP |
| Practice Address |
3401 Civic Center Blvd Philadelphia PA 19104-4319 |
| Mailing Address |
1569 Silver Lake Rd Langhorne PA 19047-8001 |
| Practice Telephone | 2155901000 |
| Mailing Telephone | 2152600751 |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2019-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
SP018824 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
SP018727 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 104 Pheasant Run, Newtown, PA 189403439 | 2159686944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104316694 | Rebecca Graham | Registered Nurse | 10054 Sandbank Rd, Freedom, NY 14065-9759 | 2018-05-10 |
| 1700261906 | Rebecca Graham | Psychologist | 8558 Highway 23 Unit 3, Belle Chasse, LA 70037-2506 | 2015-07-29 |
| 1326488537 | Rebecca Graham | Counselor | 625 N Michigan Ave Ste 1750, Chicago, IL 60611-3116 | 2013-07-02 |
| 1972897049 | Rebecca Marie Graham | Physical Therapy Assistant | 1126 Dodge Ave, Fort Wayne, IN 46805-3530 | 2011-06-06 |
| 1245211846 | Rebecca Graham | Obstetrics & Gynecology | 3300 Healthplex Pkwy, Norman, OK 73072 | 2005-11-10 |
| 1578058996 | Rebecca Marie Graham | Occupational Therapist | 2701 Chestnut Station Ct, Louisville, KY 40299-6395 | 2018-06-27 |
| 1801344882 | Rebecca Graham | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2016-09-19 |
| 1578874228 | Rebecca L Graham | Pharmacist | 3900 Woodland Ave, Pharmacy Service, Philadelphia, PA 19104-4551 | 2010-06-28 |
| 1992024038 | Rebecca Graham | Social Worker | 490 E Ridge Rd, Rochester, NY 14621-1229 | 2010-05-28 |
| 1336387653 | Rebecca Rae Graham | Nurse Anesthetist, Certified Registered | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2009-01-23 |
| Street Address |
3401 CIVIC CENTER BLVD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458463 | Jeffrey R Boris | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 | 2005-06-23 |
| 1932700259 | Rukhsar Karim Machiwalla | Physician Assistant | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-11-03 |
| 1346840519 | Vanessa Leigh Jones | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-27 |
| 1275131849 | Kelsey Ann Maher | Physician Assistant | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-15 |
| 1437756020 | Jennifer-rose Eccles | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-06 |
| 1891309787 | Morgan Mcmanus | Genetic Counselor, MS | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-09-08 |
| 1891309456 | Abigail G Stefanides | Physician Assistant | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-09-01 |
| 1124631247 | Abrar Khaled Alabdulhadi | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-08-28 |
| 1003427014 | Terrence Caldwell Jr. | Pharmacist | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-08-13 |
| 1760093298 | Paige Emily Naschke | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584404 | Elizabeth Perry Hayes | Nurse Practitioner | 837 Wilder St, Philadelphia, PA 19147-5713 | 2020-10-06 |
| 1952919771 | Caitlin Wetzler | Nurse Practitioner | 2028 Rittenhouse Sq Apt 103, Philadelphia, PA 19103-5621 | 2020-07-17 |
| 1013476134 | Victoria Nicole Hudson | Nurse Practitioner | 7056 Germantown Ave Ste 102, Philadelphia, PA 19119-1826 | 2019-03-18 |
| 1700371978 | Kristi Ford | Nurse Practitioner | 160 E Erie Ave # 21542, Philadelphia, PA 19134 | 2018-06-28 |
| 1275026528 | Eileen Cawley Paynton | Nurse Practitioner | 7500 Central Ave Ste 205, Philadelphia, PA 19111-2432 | 2018-06-12 |
| 1811488091 | Lisa Jang | Nurse Practitioner | 3400 Civic Center Blvd Dept General, Philadelphia, PA 19104-5127 | 2018-05-23 |
| 1861999542 | Bashira Charles | Nurse Practitioner | 440 North Broad Street, Student Health Services, Philadelphia, PA 10130-4015 | 2018-04-10 |
| 1356883938 | Laura-therese Martone | Nurse Practitioner | 501 S 26th St Unit 1, Philadelphia, PA 19146-1008 | 2016-11-14 |
| 1578017042 | Education Plus, Inc. | Nurse Practitioner | 3217 W. Clearfield Street, Philadelphia, PA 19132 | 2016-08-12 |
| 1396194106 | Lisa Mcfarlane | Nurse Practitioner | 6340 Wayne Ave, Philadelphia, PA 19144-3113 | 2016-06-13 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on REBECCA 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.