Shana P Graham, CERTIFIED NURSING AI

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Practice address

8308 E 11TH St
Indianapolis, IN 46219-4003

Phone

(317) 531-1550

NPI assigned

Oct 28, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1093315095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 E 11TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194003",
            "telephone_number": "317-531-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8308 E 11TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194003",
            "telephone_number": "317-531-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SHANA",
        "middle_name": "P",
        "credential": "CERTIFIED NURSING AI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten P Graham, DT
• Larry Lloyd Graham, D.D.S
• Michael Q. Graham, M.D.
• Nicole Leann Graham
• Samantha M Graham, NP
• Stephanie Graham, LCSW
• Steven Cromwell Graham, DDS
• Tamar Beatrice Graham, RBT
• Teagan M Graham, NP
• Travis Austin Graham

• Adult Care Home Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Adult Care Home Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.