Individual provider Active NPI

Susana Marie Graham, RCP, CRT

  • Home Health Certified Respiratory Therapist
  • Sedona, AZ
National Provider Identifier
1073848487
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Certified Respiratory TherapistTaxonomy code 2278H0200X
License
006007 Issued in AZ
Practice address
6560 Sr 179
Suite 208
Sedona, AZ 86351-7985
Phone
(602) 373-7052
Fax
(866) 284-2849
NPI assigned
Oct 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Certified Respiratory Therapist 2278H0200X 006007 AZ Primary

Addresses

Primary practice location

6560 Sr 179
Suite 208
Sedona, AZ 86351-7985

Mailing address

PO Box 20015
Sedona, AZ 86341-0015
Phone (602) 373-7052

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
006007AZMDHome Health Certified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Home Health, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1254528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1073848487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20015",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863410015",
            "telephone_number": "602-373-7052",
            "fax_number": "866-284-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 SR 179",
            "address_2": "SUITE 208",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863517985",
            "telephone_number": "602-373-7052",
            "fax_number": "866-284-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SUSANA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RCP, CRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-03",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": "AZ",
            "license": "006007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.