Laura Graham, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71005996A Issued in IN

Practice address

300 N Main St Ste D
Crown Point, IN 46307-3281

Phone

(219) 663-4877

Fax

(219) 663-4877

NPI assigned

Dec 29, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aceso Visiting Physicians and Geriatric Care Inc. 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Aceso Visiting Physicians and Geriatric Care Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Crown Point, IN
  • NPI 1982010690

  IN

  Medicare reassignment Care Compare group NPD
• Green Pediatrics LLC

  • Pediatrics Physician
  • Saint John, IN
  • NPI 1922462811
  NPD (past)

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625356800000",
    "number": "1124483524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N MAIN ST STE D",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073281",
            "telephone_number": "219-663-4877",
            "fax_number": "219-663-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MAIN ST STE D",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073281",
            "telephone_number": "219-663-4877",
            "fax_number": "219-663-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LAURA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2021-07-04",
        "certification_date": "2021-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005996A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "71005996A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Gonzalez
• Crystal Goodlander
• Kayley Goodlink-Lukowski, RBT
• Michael D Goodwin, DDS, MS
• Arien Dakota Gordon
• Cynthia Catherine Grass Black, L.C.S.W.
• Jessica Gray
• Michael Stephen Gray, PHARMD
• Alyssa Nicole Graziani, PA
• Great Lakes Orthopedics and Sports Medicine, P.C.

• All providers in Crown Point, IN
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.