JEAN ANN GRAHAM (NPI# 1457844656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457844656 |
| Entity Type | Individual |
| Full Name | JEAN ANN GRAHAM |
| Practice Address |
2503 Saratoga Dr Austin TX 78733-1240 |
| Mailing Address |
Po Box 340744 Austin TX 78734-0013 |
| Practice Telephone | 5122991500 |
| Mailing Telephone | 5122991500 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
21955 | TX | Pharmacy Service Providers |
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 172V00000X | Community Health Worker | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992012033 | Jean M. Graham | Speech-Language Pathologist | 435 Glenwood Rd, Binghamton, NY 13905-1699 | 2010-09-10 |
| 1114114485 | Jean Ann Graham | Pharmacist | 500 Walter St Ne, Suite 201, Albuquerque, NM 87102-2534 | 2007-10-01 |
| 1508920661 | Jean Graham | Specialist | 4801 N Butler Ave, Farmington, NM 87401-6002 | 2006-12-21 |
| 1184675043 | Jean M. Graham | Physician Assistant | 259 1st St, Mineola, NY 11501-3957 | 2006-05-15 |
| Street Address |
2503 SARATOGA DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78733-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400850 | Falconhead Surgery Center LLC | Clinic/Center | 14425 Falconhead Blvd, Bldf. F, Ste. 111, Austin, TX 78733 | 2020-06-04 |
| 1356897557 | Meril Gilbert | Occupational Therapist | 9433 Bee Caves Road Bldg 3 Ste 101, Austin, TX 78733 | 2016-08-28 |
| 1154567345 | Big Sky Pediatric Therapy | Clinic/Center | 9433 Bee Cave Rd, B3 Ste 101, Austin, TX 78733 | 2008-12-18 |
| 1144356825 | Open Diagnostic Imaging LLC | Radiology | 10644 Indigo Broom Loop, Austin, TX 78733 | 2007-02-26 |
| 1255600946 | Yasmin Rios-schultz | Speech-Language Pathologist | 9804 Inca Ln, Austin, TX 78733-1023 | 2011-12-25 |
| 1417563784 | Yasmin Rios-schultz Therapy LLC | Clinic/Center | 9804 Inca Ln, Austin, TX 78733-1023 | 2020-09-21 |
| 1669765707 | Healing Tree Counseling | Marriage & Family Therapist | 2808 Mecca Rd, Austin, TX 78733-1033 | 2011-05-23 |
| 1831221258 | Rhonda Ann Caffee | Social Worker | 2214 Saratoga Drive, Austin, TX 78733-1233 | 2007-03-12 |
| 1639394877 | Kimberly Anne Temple | Specialist | 2818 Saratoga Dr, Austin, TX 78733-1244 | 2007-04-14 |
| 1831414333 | Sonja Dieterichs | Ophthalmology | 1102 Carlotta Ln, Austin, TX 78733-1527 | 2010-03-29 |
| Find all providers in zip 78733 | ||||
| Taxonomy Code | 1835N1003X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Nutrition Support |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274397 | People's Wellness Center | Pharmacist | 13860 N Us Highway 183 Ste C, Austin, TX 78750-1203 | 2017-02-22 |
| 1447509625 | Barbara Ann Campbell | Pharmacist | 13860 Highway 183 North Suite C, Austin, TX 78750 | 2012-09-05 |
| 1922548395 | James Meyer | Pharmacist | 13860 N Us Highway 183, Austin, TX 78750-1203 | 2017-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720543754 | Donna Bellia | Pharmacist | 211 E Creekview Dr, Fredericksburg, TX 78624-5434 | 2019-02-04 |
| 1881080109 | Patrece Jones | Pharmacist | 18101 Point Lookout Dr, 343, Houston, TX 77058-3569 | 2015-04-14 |
| 1659771194 | Rick Ferris | Pharmacist | 115 Tower Rd, Valley View, TX 76272-7668 | 2014-09-03 |
| 1457616708 | David Christian Morcom | Pharmacist | 16306 Shadybank Dr, Dallas, TX 75248-2957 | 2012-07-11 |
| 1881806321 | Todd Wayne Canada | Pharmacist | 1515 Holcombe Boulevard, Unit 377, Division of Pharmacy, Houston, TX 77030-4009 | 2007-05-04 |
| 1720129851 | E. J. Stein | Pharmacist | 2004 W State Highway 29, Burnet, TX 78611-2353 | 2007-02-10 |
| 1730237025 | Elizabeth Rose Kaczmarek | Pharmacist | 108 Arabian Dr, Victoria, TX 77904-3248 | 2007-01-05 |
| 1881762300 | Luis Omar Valdivieso Jr. | Pharmacist | 2100 Berqguire Rd Ste No. 1, San Antonio, TX 78236 | 2006-12-01 |
| 1457420457 | Chi Yin Gabriel Kwong | Pharmacist | 5909 Harry Hines Blvd., Ut Southwestern Medical Center, Pharmacy, Dallas, TX 75390-9236 | 2006-11-06 |
| 1629448758 | Ashley Lauren Nguyen | Pharmacist | 10674 Westheimer Rd, Houston, TX 77042-3486 | 2015-10-01 |
| 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.