ELIZABETH JEAN GRAHAM (NPI# 1992085310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992085310 |
| Entity Type | Individual |
| Full Name | ELIZABETH JEAN GRAHAM |
| Credential | APRN-C |
| Practice Address |
3011 N Michigan St Pittsburg KS 66762-2546 |
| Mailing Address |
Po Box 1832 Pittsburg KS 66762-1832 |
| Practice Telephone | 6202311960 |
| Practice Fax Number | 6202312808 |
| Mailing Telephone | 6202311960 |
| Mailing Fax Number | 6202312808 |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2018-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5375433011 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | MEDICARE PTAN | 068002207 | 01 |
| KS | 200875510C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316245087 | Elizabeth Graham | Mechanotherapist | 8826 W Brown St, Peoria, AZ 85345-8320 | 2011-03-04 |
| 1083862312 | Elizabeth Lyon Graham | Social Worker | 55 Highland Ave Ste 201, Salem, MA 01970-2100 | 2008-08-28 |
| 1558547430 | Elizabeth White Graham | Pharmacist | 5300 W Genesse Street, Camillus, NY 13031-0128 | 2008-01-10 |
| 1902955461 | Elizabeth Marie Graham | Dentist | 403 Linden Ave, Wilmette, IL 60091-2844 | 2007-01-10 |
| 1588738579 | Elizabeth Jo Graham | Counselor | 5911 W 84th St, Overland Park, KS 66207-1633 | 2006-11-20 |
| 1962027904 | Elizabeth Crystal Graham | Counselor | 60 S Stockwell Rd, Evansville, IN 47714-0247 | 2020-06-16 |
| 1487112215 | Elizabeth Allison Ruth Graham | Nurse Practitioner | 5721 W 119th St, Overland Park, KS 66209-3753 | 2019-03-11 |
| 1619434453 | Elizabeth Kate Graham | Counselor | 70 S River St, Aurora, IL 60506-5185 | 2019-02-28 |
| 1750855334 | Elizabeth Graham | Behavior Technician | 7860 Mission Center Ct Ste 100, San Diego, CA 92108-1330 | 2019-01-16 |
| 1861905606 | Elizabeth Rockwell Graham | Speech-Language Pathologist | 6399 Fishtrap Rd, Denton, TX 76208-1607 | 2017-11-15 |
| Street Address |
3011 N MICHIGAN ST |
| City | PITTSBURG |
| State | KS |
| Zip Code | 66762-2546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699777425 | Cheryl A Rajotte | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2005-08-11 |
| 1164031936 | Danielle M Bennett | Registered Nurse | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2020-07-28 |
| 1275141434 | Michael Garza | Psychologist | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2020-07-14 |
| 1295350049 | Building Health Inc. | Clinic/Center | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2020-06-08 |
| 1255978631 | Crystal Merriman | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-12-05 |
| 1700422490 | Lorraine Kathleen Lorentz | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-11-18 |
| 1285270926 | Mallory Garza | Psychologist | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-11-18 |
| 1336791334 | Kristen R Simmons | Social Worker | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-07-10 |
| 1407417165 | Samantha K Simpson | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-06-24 |
| 1003379629 | Tracy M Orellana | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172250 | Mallory Kate Revell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 | 2020-07-28 |
| 1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
| 1679103642 | Jessica Crager | Nurse Practitioner | 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 | 2020-01-18 |
| 1376198226 | Apollo Services Inc | Durable Medical Equipment & Medical Supplies | 2505 S Springdale, Pittsburg, KS 66762 | 2019-08-07 |
| 1851885719 | Chelsea Duncan | Social Worker | 911 E Centennial, Pittsburg, KS 66762 | 2018-06-14 |
| 1902395858 | Alexandria Winter | Specialist/Technologist | 1701 S Homer Street, Pittsburg, KS 66762 | 2018-05-07 |
| 1811419633 | Troy Richard Quenzer | Specialist/Technologist | 1701 S Homer St, 213 Weede Phys Ed Bldg, Pittsburg, KS 66762 | 2017-07-13 |
| 1356727002 | John Klodt | Social Worker | 902 E Centennial Dr Apt 13a, Pittsburg, KS 66762 | 2015-08-05 |
| 1295120533 | Christine E. Conner | Nurse Practitioner | 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 | 2015-04-03 |
| 1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
| Find all providers in zip 66762 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476375 | William G Meeks | Nurse Practitioner | 2304 S Stilwell St, Pittsburg, KS 66762-6532 | 2020-08-05 |
| 1205445129 | German Augusto Abarca-paillacho | Nurse Practitioner | 7418 Ne Village Ln, Pittsburg, KS 66762-8568 | 2020-07-27 |
| 1679103642 | Jessica Crager | Nurse Practitioner | 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 | 2020-01-18 |
| 1912422106 | Allyson Grimaldi | Nurse Practitioner | 2305 S Tucker Ter, Pittsburg, KS 66762-6608 | 2017-08-08 |
| 1295120533 | Christine E. Conner | Nurse Practitioner | 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 | 2015-04-03 |
| 1033511266 | Gurcharanjit Kaur | Nurse Practitioner | 1649 Roma Dr, Pittsburg, CA 94565-7989 | 2014-09-18 |
| 1578577532 | Rebecca Jane Adamson | Nurse Practitioner | 410 E Atkinson Ave, Pittsburg, KS 66762-2342 | 2006-07-27 |
| 1255978631 | Crystal Merriman | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-12-05 |
| 1700422490 | Lorraine Kathleen Lorentz | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-11-18 |
| 1407417165 | Samantha K Simpson | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-06-24 |
| Find all providers in PITTSBURG | ||||
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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.