Stephanie Michele Graebert, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

308690 Issued in LA

Practice address

4224 Houma Blvd Ste 240
Metairie, LA 70006-2935

Phone

(504) 885-4141

Fax

(504) 885-4159

NPI assigned

Apr 10, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Childrens Hospital Medical Practice Corporation

  • Pediatrics Physician
  • New Orleans, LA
  • NPI 1821090713
  Medicare reassignment NPD
• University Healthcare System, L.C.

  • General Acute Care Hospital
  • Metairie, LA
  • NPI 1497792527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1003202581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD STE 240",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062935",
            "telephone_number": "504-885-4141",
            "fax_number": "504-885-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD STE 240",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062935",
            "telephone_number": "504-885-4141",
            "fax_number": "504-885-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAEBERT",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "308690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Goyette
• Grace Behavioral Health Center, LLC
• Grace Healthcare Incorporated
• Amy Nicole Grace, MD
• Angela Graebert, M.D.
• Kristen Elizabeth Graff, LCSW
• Jenny Mora Graffato, APRN
• Ashley Cosentino Graft
• George Paterson Graham, MD
• Jessica Graham, PT

• Pediatrics Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.