Individual provider Active NPI

Madeline Noelle Graham, FNP

  • Family Nurse Practitioner
  • Plain City, OH
National Provider Identifier
1003664863
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0036794 Issued in OH
Practice address
209 N Chillicothe St
Plain City, OH 43064-1045
Phone
(614) 873-6700
NPI assigned
May 8, 2024
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0036794 OH Primary

Addresses

Primary practice location

209 N Chillicothe St
Plain City, OH 43064-1045

Mailing address

209 N Chillicothe St
Plain City, OH 43064-1045
Phone (614) 873-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0036794OHMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: madeline.graham@1097037949173764.direct.elationemr.com
  • Direct secure messaging: tornikfamilymedicine.madelinegraham@161507.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1003664863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N CHILLICOTHE ST",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430641045",
            "telephone_number": "614-873-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N CHILLICOTHE ST",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430641045",
            "telephone_number": "614-873-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MADELINE",
        "middle_name": "NOELLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0036794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plain City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.