DEBORAH V GRAHAM (NPI# 1497012074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497012074 |
| Entity Type | Individual |
| Full Name | DEBORAH V GRAHAM |
| Credential | LCPO |
| Practice Address |
1719 8th Ave Fort Worth TX 76110-1349 |
| Mailing Address |
Po Box 99283 Fort Worth TX 76199-0283 |
| Practice Telephone | 6828856294 |
| Practice Fax Number | 6828851135 |
| Mailing Telephone | 8178770294 |
| Mailing Fax Number | 8178770304 |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | 52 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | 52 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134469927 | Deborah L Graham | Counselor | 1721 Hewitt Ave Ste 200, Everett, WA 98201-3582 | 2013-02-15 |
| 1306132717 | Deborah N Graham | Social Worker | 913 S Tipton St, Hattiesburg, MS 39401-2729 | 2011-06-23 |
| 1265679799 | Deborah Graham | Counselor | 2 Blue Heron Blvd, Boerne, TX 78006-9430 | 2009-01-21 |
| 1376796334 | Deborah M Graham | Licensed Practical Nurse | 6434 Red Coach Ln, Reynoldsburg, OH 43068-1661 | 2008-11-03 |
| 1518944438 | Deborah Lee Graham | Radiology | 500 17th Ave S, Providence Swedish Medical Center, Seattle, WA 98124-1008 | 2005-12-30 |
| 1205433224 | Deborah Baker Graham | Behavior Technician | 4422 E State Blvd, Fort Wayne, IN 46815-6917 | 2020-10-02 |
| 1871944702 | Deborah Graham | Behavioral Analyst | 475 S John Rodes Blvd, Melbourne, FL 32904-1093 | 2016-06-22 |
| 1689097404 | Deborah Graham | Licensed Practical Nurse | 725 E Poplar Ave, Selmer, TN 38375-1800 | 2014-01-30 |
| 1376887273 | Deborah Ann Graham | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2012-11-15 |
| 1720334261 | Deborah Graham | Pharmacist | 201 Allendale Rd, King of Prussia, PA 19406-1634 | 2012-08-02 |
| Street Address |
1719 8TH AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76110-1349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750905576 | Mariana Castle | Audiologist | 1719 8th Ave, Fort Worth, TX 76110-1349 | 2020-06-08 |
| 1962905109 | Susanna J Saxon | Audiologist-Hearing Aid Fitter | 1719 8th Ave, Fort Worth, TX 76110-1349 | 2018-03-14 |
| 1447600424 | Kaitlyn Marie Kennedy | Audiologist | 1719 8th Ave, Fort Worth, TX 76110-1349 | 2016-06-21 |
| 1932572369 | Vinh K Phan | Pharmacist | 1719 8th Ave, Fort Worth, TX 76110-1349 | 2015-11-06 |
| 1245643485 | Michael Joshua Spann | Audiologist | 1719 8th Ave, Fort Worth, TX 76110-1349 | 2014-06-05 |
| 1770842551 | Cook Childrens Home Health | Prosthetist | 1719 8th Ave, Fort Worth, TX 76110-1349 | 2012-05-14 |
| 1467719872 | Debra M Auten | Orthotist | 1719 8th Ave, Fort Worth, TX 76110-1349 | 2012-04-23 |
| 1265799688 | Jill E Stoessel | Orthotist | 1719 8th Ave, Fort Worth, TX 76110-1349 | 2012-04-23 |
| 1063779486 | Jillian M Swazey | Orthotist | 1719 8th Ave, Fort Worth, TX 76110-1349 | 2012-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992177240 | Sarah Jones Midwifery | Midwife | 2260 5th Ave, Fort Worth, TX 76110 | 2015-10-27 |
| 1427371814 | Cenikor Foundation | Community/Behavioral Health | 2209 South Main Street, Fort Worth, TX 76110 | 2010-03-12 |
| 1225282320 | Ktv Dental, Pa | Dentist | 2717 8th Ave., Fort Worth, TX 76110 | 2008-11-17 |
| 1821291014 | Michael J Davis | Dentist | 1818 8th Avenue, Fort Worth, TX 76110 | 2007-06-06 |
| 1669513347 | Latoya Cherrell Carter | Counselor | 1814 8th Ave # B201, Fort Worth, TX 76110 | 2007-02-08 |
| 1659446771 | Christina Pey-ru Chou | Marriage & Family Therapist | 1616 Park Place Ave., Fort Worth, TX 76110 | 2006-11-22 |
| 1750461364 | Zera Inc | Home Health | 1050 Forest Park Blvd, Fort Worth, TX 76110 | 2006-10-17 |
| 1144300914 | Tai Anh Huynh | Optometrist | 1405 West Berry St, Fort Worth, TX 76110 | 2006-10-16 |
| 1871510784 | Robert T Keller Md & Assco Pa | Internal Medicine | 2751 Greenoaks Rd, Fort Worth, TX 76110 | 2006-07-16 |
| 1114906633 | The Womens Center of Tarrant County Inc | Clinic/Center | 1723 Hemphill, Fort Worth, TX 76110 | 2006-01-12 |
| Find all providers in zip 76110 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801454566 | Winnie Robateau | Prosthetist | 1308 Soaptree Ln, Fort Worth, TX 76177-7225 | 2019-05-29 |
| 1770842551 | Cook Childrens Home Health | Prosthetist | 1719 8th Ave, Fort Worth, TX 76110-1349 | 2012-05-14 |
| 1366675761 | Liberty B Wethington | Prosthetist | 1401 W Magnolia Ave, Fort Worth, TX 76104-4250 | 2009-09-01 |
| 1770716375 | Gordon E North | Prosthetist | 1401 W Magnolia Ave, Fort Worth, TX 76104-4250 | 2009-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151678 | Emelia A Nwokobia | Prosthetist | 5218 Urban Crest Rd, Dallas, TX 75227-1530 | 2020-10-12 |
| 1952911984 | Aisha Mathis | Prosthetist | 3405 Midway Rd Ste 420, Plano, TX 75093-8144 | 2020-08-04 |
| 1568083897 | Shawana Duncantel | Prosthetist | 4700 Trimmier Rd Ste F, Killeen, TX 76542-5870 | 2020-04-28 |
| 1922631043 | Kyera Johnson | Prosthetist | 5619 Aldine Bender Rd Apt 275b, Houston, TX 77032-4506 | 2020-02-17 |
| 1003447764 | Capital Prosthetics & Orthotics, LLC | Prosthetist | 4125 Old Denton Rd, Carrollton, TX 75010-2309 | 2020-01-31 |
| 1053950303 | Billy Gordon | Prosthetist | 4001 Ross Ave Apt 111, Dallas, TX 75204-5252 | 2020-01-04 |
| 1427696145 | M D Prosthetics | Prosthetist | 2000 Crawford St Ste 1122, Houston, TX 77002-9065 | 2019-12-12 |
| 1669029849 | Monika J Salon LLC | Prosthetist | 17610 Midway Rd Ste 122, Dallas, TX 75287-6741 | 2019-08-21 |
| 1356997332 | Taylor Nicole Hickson | Prosthetist | 7703 Floyd Curl Dr # Mc7798, San Antonio, TX 78229-3901 | 2019-08-14 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76110 |
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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.