Shemika Ariel Graham, CNA-DT

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

A00128958 Issued in MD

Practice address

66 Main Brook CT
Reisterstown, MD 21136-2204

Phone

(443) 621-5530

Fax

(410) 517-0341

NPI assigned

Dec 11, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1063810794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MAIN BROOK CT",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211362204",
            "telephone_number": "443-621-5530",
            "fax_number": "410-517-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MAIN BROOK CT",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211362204",
            "telephone_number": "443-621-5530",
            "fax_number": "410-517-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SHEMIKA",
        "middle_name": "ARIEL",
        "name_prefix": "Ms.",
        "credential": "CNA-DT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MD",
            "license": "A00128958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carines Paola Gonzalez Reyes
• Elaine Goodman
• Gracious Health Services
• Wendie Katrina Grader-Beck, M.D.
• Alex Graff
• Great Works Wellness Center
• Lauren Greenwald, LCSW-C
• Ayesha A Gulistan
• Habitat for Healing, LLC
• Corey Hahn, PTA

• Nurse's Aide in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Nurse's Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.