MS. ANGELA LINDA GRAVES (NPI# 1932262995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932262995 |
| Entity Type | Individual |
| Full Name | MS. ANGELA LINDA GRAVES |
| Credential | APN |
| Practice Address |
4077 Jefferson Ave Texarkana AR 71854-1509 |
| Mailing Address |
Po Box 1326 Marshall TX 75671-1326 |
| Practice Telephone | 8703309200 |
| Practice Fax Number | 8703309439 |
| Mailing Telephone | 9039273782 |
| Mailing Fax Number | 9039271764 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
A02971 ANP | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
562258 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | NP LICENSE | A002971 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1710370614 | Angela Graves | Registered Nurse | 7055 Samuel Morse Dr, Columbia, MD 21046-3439 | 2015-03-17 |
| 1992131726 | Angela R Graves | Dentist | 10900 Euclid Ave, Cleveland, OH 44106-1712 | 2013-09-25 |
| Street Address |
4077 JEFFERSON AVE |
| City | TEXARKANA |
| State | AR |
| Zip Code | 71854-1509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487617031 | Kevin Earl Kramer | Pediatrics | 4077 Jefferson Ave, Texarkana, AR 71854-1509 | 2006-04-06 |
| 1548745383 | East Texas Border Health Clinic | Counselor | 4077 Jefferson Ave, Texarkana, AR 71854-1509 | 2018-09-27 |
| 1104316819 | Porscha Nicole Branch | Nurse Practitioner | 4077 Jefferson Ave, Texarkana, AR 71854-1509 | 2018-05-17 |
| 1578066452 | Rebecca Ann Liles | Social Worker | 4077 Jefferson Ave, Texarkana, AR 71854-1509 | 2018-03-16 |
| 1720516719 | Amanda Michelle Ferrer | Family Medicine | 4077 Jefferson Ave, Texarkana, AR 71854-1509 | 2017-06-02 |
| 1720364334 | Kathryn E Brannan | Nurse Practitioner | 4077 Jefferson Ave, Texarkana, AR 71854 | 2011-10-26 |
| 1275769903 | Tammy Crawford | Counselor | 4077 Jefferson Ave, Texarkana, AR 71854 | 2009-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
| 1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
| 1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
| 1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
| 1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
| 1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
| Find all providers in zip 71854 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750415287 | Cathy Lynn Green | Nurse Practitioner | 2604 Saint Michael Dr Ste 410, Texarkana, TX 75503-2378 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740820950 | Heather Erwin | Nurse Practitioner | 615 Creekside Dr, Greenwood, AR 72936-3810 | 2020-01-15 |
| 1437596970 | Charity Dawson | Nurse Practitioner | 20299 Highway 51, Malvern, AR 72104-8005 | 2013-05-23 |
| 1942591896 | Wendy Jo Kelton | Nurse Practitioner | 1113 Chestnut St, Lewisville, AR 71845-0367 | 2011-04-27 |
| 1508176744 | Susan Anne Denys | Nurse Practitioner | 811 N Creek Dr, Conway, AR 72032-4712 | 2010-10-20 |
| 1326200213 | Sarah J Rhoads | Nurse Practitioner | 4301 W Markham St # 529, Little Rock, AR 72205-7101 | 2008-07-01 |
| 1750577581 | Lisa Anne Toth | Nurse Practitioner | #4 Highway 71 Northeast, Mountainburg, AR 72946 | 2007-09-14 |
| 1083836886 | Linda Mckennon Smith | Nurse Practitioner | 3729 N Crossover Rd, Suite 107, Fayetteville, AR 72703-4582 | 2007-05-02 |
| 1295954808 | Deborah Kay Gossett | Nurse Practitioner | 3112 S 70th St, Fort Smith, AR 72903-5068 | 2007-04-24 |
| 1598816506 | Amparo Bartlett | Nurse Practitioner | 203 Weir Rd, Russellville, AR 72802-9405 | 2007-01-16 |
| 1003965120 | Susan A Harris | Nurse Practitioner | 801 Goldsmith Rd, Paragould, AR 72450-9509 | 2007-01-09 |
| 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.