Active NPI
Susana Marie Graham, RCP, CRT
- Home Health Certified Respiratory Therapist
- Sedona, AZ
National Provider Identifier
1073848487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Certified Respiratory Therapist
- License
- 006007
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 006007 | AZ | MD | Home Health Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Home Health Agency
- Sedona, AZ
- NPI 1043652704
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.