MICHELLE LEE GRAVES (NPI# 1982242426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982242426 |
| Entity Type | Individual |
| Full Name | MICHELLE LEE GRAVES |
| Practice Address |
6 Telcom Dr Bangor ME 04401-3072 |
| Mailing Address |
Po Box 1599 Bangor ME 04402-1599 |
| Practice Telephone | 2079470147 |
| Practice Fax Number | 2079903365 |
| Mailing Telephone | 2074048200 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
CNP201008 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664291 | Michelle Graves | Dietitian, Registered | 8505 N Clearview Drive, Mccordsville, IN 46055 | 2020-09-17 |
| 1487112421 | Michelle Lynn Graves | Social Worker | 71 Charnell St, Bethel Springs, TN 38315-3523 | 2019-03-08 |
| 1083050371 | Michelle Lee Graves | Counselor | 1280 W 47th Ave, Denver, CO 80211-2317 | 2013-05-14 |
| 1417599499 | Michelle Renee Graves | Peer Specialist | 104 Spink St, Wooster, OH 44691-3652 | 2019-10-11 |
| 1619472420 | Michelle N Graves | Specialist | 17 93rd St, Keene, NH 03431-3989 | 2018-03-26 |
| 1205283348 | Michelle Graves | Registered Nurse | 1900 N White Sands Blvd, Alamogordo, NM 88310-6246 | 2016-05-18 |
| 1124305560 | Michelle Graves | Case Manager/Care Coordinator | 112 Sartin Dr, Edmonton, KY 42129-8170 | 2011-11-14 |
| 1972888196 | Michelle Nicole Graves | Occupational Therapy Assistant | 1529 Nye Rd, Lyons, NY 14489-9111 | 2011-10-19 |
| 1578588612 | Michelle Graves | Acupuncturist | 220 Montgomery St Ste 305, San Francisco, CA 94104-3444 | 2006-07-12 |
| Street Address |
6 TELCOM DR |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396708459 | Donna M. Cotton | Nurse Practitioner | 6 Telcom Dr, Bangor, ME 04401-3072 | 2006-04-10 |
| 1871106047 | Carla Marie White | Audiologist | 6 Telcom Dr, Bangor, ME 04401-3072 | 2020-08-28 |
| 1154972461 | Noelle Christine Braley | Nurse Practitioner | 6 Telcom Dr, Bangor, ME 04401-3072 | 2019-09-27 |
| 1164913117 | Kathryn Anne Foley | Nurse Practitioner | 6 Telcom Dr, Bangor, ME 04401-3072 | 2018-05-25 |
| 1922483973 | Sydney Kotredes | Nurse Practitioner | 6 Telcom Dr, Bangor, ME 04401-3072 | 2015-07-20 |
| 1124408059 | Morgan Frances Benter | Physician Assistant | 6 Telcom Dr, Bangor, ME 04401-3072 | 2015-06-05 |
| 1245650605 | Aimee Jordan Beaton | Pediatrics | 6 Telcom Dr, Bangor, ME 04401-3072 | 2014-04-23 |
| 1801235023 | Penobscot Community Health Center | Clinic/Center | 6 Telcom Dr, Bangor, ME 04401-3072 | 2013-06-20 |
| 1194062901 | Karen L. Gardner | Counselor | 6 Telcom Dr, Bangor, ME 04401-3072 | 2013-01-14 |
| 1386929230 | Benjamin Chad Smith | Nurse Practitioner | 6 Telcom Dr, Bangor, ME 04401-3072 | 2011-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932503133 | Meryl Mccarthy | Nurse Practitioner | 417 State Street, Suite 310, Emmc - Pediatric Specialty Clinics, Bangor, ME 04401 | 2014-10-16 |
| 1871533166 | Angela Reed | Nurse Practitioner | 803 W Arlington St, Bangor Health Center, Bangor, MI 49013-1108 | 2006-06-07 |
| 1932193679 | Ann B. Waitt | Nurse Practitioner | 133 Corporate Dr, Bangor, ME 04401-4312 | 2005-09-08 |
| 1568091742 | Brittany Nicole Miller | Nurse Practitioner | 1012 Union St, Bangor, ME 04401-3060 | 2020-04-08 |
| 1750788907 | Elizabeth Bates | Nurse Practitioner | 133 Corporate Dr, Bangor, ME 04401-4312 | 2014-12-02 |
| 1598027450 | Karla Anne Rella | Nurse Practitioner | 1068 Union St, Bangor, ME 04401-3016 | 2012-06-15 |
| 1932209426 | Mary Tedesco-schneck | Nurse Practitioner | 404 State St, Suite 310, Bangor, ME 04401-6623 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063648079 | Sarah-louise Elisabeth Corson | Nurse Practitioner | 6 Pine Point Rd, Scarborough, ME 04074-9201 | 2009-06-04 |
| 1407050164 | Melissa Diana Mckenzie | Nurse Practitioner | 37 Palmer St Ste 1, Calais, ME 04619-1341 | 2007-06-14 |
| 1942403266 | Webber Hospital Association | Nurse Practitioner | 473 Alfred St, Biddeford, ME 04005-9447 | 2007-06-06 |
| 1578785101 | Jacqueline M Campbell | Nurse Practitioner | 473 Alfred Road, Biddeford, ME 04005 | 2007-05-03 |
| 1699858266 | Nathaniel Todd Lesser | Nurse Practitioner | 518 Us Route 1, Kittery, ME 03904-2500 | 2006-10-24 |
| 1053320804 | Karen Elizabeth Caines | Nurse Practitioner | 96 Falmouth St, Portland, ME 04104-9300 | 2006-08-07 |
| 1427077312 | Ronald E. Cormier | Nurse Practitioner | 55 Reynolds Road, Brooks, ME 04921-0159 | 2006-07-19 |
| 1649209982 | Joanne M Perry | Nurse Practitioner | 901 Washington Ave Ste 100, Portland, ME 04103-2842 | 2006-06-30 |
| 1558324772 | Jonathan Libby | Nurse Practitioner | 100 Campus Ave Apt 203, Lewiston, ME 04240-6079 | 2006-04-10 |
| 1700407897 | Dorothy Ann Zirkle | Nurse Practitioner | 13 Hemlock Ln, Falmouth, ME 04105-1156 | 2020-04-30 |
| 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.