VANESSA GRAHAM (NPI# 1548523681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548523681 |
| Entity Type | Individual |
| Full Name | VANESSA GRAHAM |
| Credential | MSED |
| Practice Address |
9960 63rd Rd Apt. 14d Rego Park NY 11374-1946 |
| Practice Telephone | 6463259998 |
| Mailing Telephone | 6463259998 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2017-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 583612051 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336693266 | Vanessa Graham | Nurse Practitioner | 1105 Litaker Farm Rd, Salisbury, NC 28147-6587 | 2016-08-09 |
| 1508497231 | Vanessa Graham | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-01-31 |
| 1003396623 | Vanessa Wyche Graham | Counselor | 3643 Walton Way Ext Bldg 4, Augusta, GA 30909-6677 | 2018-08-14 |
| Street Address |
9960 63RD RD APT. 14D |
| City | REGO PARK |
| State | NY |
| Zip Code | 11374-1946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891716650 | Cynthia Glickstein | Social Worker | 9960 63rd Rd, 9s, Rego Park, NY 11374-1946 | 2006-07-21 |
| 1215299557 | Chantay M Sewell | Specialist | 9960 63rd Rd, Apt7x, Rego Park, NY 11374-1946 | 2012-06-12 |
| 1386887065 | Tsering Wangmo | Licensed Practical Nurse | 9960 63rd Rd, Apt #7o, Rego Park, NY 11374-1946 | 2009-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747579 | Washington Andres Sanchez | Occupational Therapist | 61 80 Woodhaven Blvd, Rego Park, NY 11374 | 2020-07-13 |
| 1285261636 | Joanna Rucinska | Home Health Aide | 6140 Wetherole Street, Rego Park, NY 11374 | 2020-03-25 |
| 1134605751 | Ella Yusupova | Specialist | 6620 Wetherole Street, Apt#2d, Rego Park, NY 11374 | 2018-07-17 |
| 1316435290 | Ilya Nektalov | Pharmacist | 9002 63rd Dr Apt 2h, Rego Park, NY 11374 | 2018-04-26 |
| 1467956623 | Celeste Lucas-powers | Social Worker | 97-37 Queens Blvd, Queens, NY 11374 | 2018-03-22 |
| 1306358114 | Mazal Katanov-nektalov | Occupational Therapist | 65-09 99th St, Apt.1t, Rego Park Queens,ny, NY 11374 | 2017-11-02 |
| 1497273866 | Alex Adrian Medina Abragan | Physical Therapist | 8616 63rd Drive, 2nd Floor, Rego Park, NY 11374 | 2017-09-06 |
| 1417472374 | Natella Yagoudaeva | Physician Assistant | 65-60 Wetherole St. Apt 4d, Rego Park, NY 11374 | 2017-08-11 |
| 1477083491 | Kei Petersen | Social Worker | Rego Park Counseling Center, 97-77 Queens Blvd., Ph Floor, Rego Park, NY 11374 | 2017-06-13 |
| 1558890988 | Irina Simidchieva | 6210 99th Street, Apt.6a, Rego Park, NY 11374 | 2017-06-08 | |
| Find all providers in zip 11374 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819818 | Arsen Musayev | Specialist | 63109 Saunders St Apt D7, Rego Park, NY 11374-3139 | 2020-07-27 |
| 1508425158 | Yafit Gadaev | Specialist | 6485 Saunders St Apt C8, Rego Park, NY 11374-3277 | 2019-06-07 |
| 1134605751 | Ella Yusupova | Specialist | 6620 Wetherole Street, Apt#2d, Rego Park, NY 11374 | 2018-07-17 |
| 1790214849 | Leydi Viviana Roman | Specialist | 6307 Saunders St Apt 1a, Rego Park, NY 11374-2037 | 2017-06-11 |
| 1235662164 | Carly Zides | Specialist | 6411 Fleet St, Unit A, Rego Park, NY 11374-5200 | 2017-04-07 |
| 1366985590 | Inessa Abramov | Specialist | 6304 Saunders St, Rego Park, NY 11374-2031 | 2016-11-20 |
| 1154797926 | Liana Shimunova | Specialist | 9839 65rd #1e, Rego Park, NY 11374 | 2015-08-17 |
| 1407239353 | Lauren Lippmann | Specialist | 6401 Fitchett St, Rego Park, NY 11374-5050 | 2015-07-09 |
| 1003299595 | Julia Quinones | Specialist | 6125 97th St Apt 8h, Rego Park, NY 11374-1234 | 2015-07-02 |
| 1609264233 | Julie A Shimunov | Specialist | 8804 63rd Dr Apt 326, Rego Park, NY 11374-3859 | 2015-01-05 |
| Find all providers in REGO PARK | ||||
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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.