Active NPI
Meghan Terese Grahe, CRNP
- Pediatric Nurse Practitioner
- Bel Air, MD
National Provider Identifier
1164732111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R169308
- Practice address
- 2111 Laurel Bush Rd Ste H
Bel Air, MD 21015-6156 - Phone
- (410) 569-3300
- NPI assigned
- Oct 8, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R169308 | MD | Primary |
Addresses
Primary practice location
2111 Laurel Bush Rd Ste H
Bel Air, MD 21015-6156
Mailing address
538 Westwell LN
Bel Air, MD 21014-2009
Phone (443) 834-2543
Other practice location 1
4C North Ave
Suite 403
Bel Air, MD 21014-2330
Phone (410) 879-5170
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R169308 | MD | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Oaks Pediatric Center, 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.
-
- Pediatrics Physician
- Bel Air, MD
- NPI 1912120916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1164732111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 WESTWELL LN",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210142009",
"telephone_number": "443-834-2543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 LAUREL BUSH RD STE H",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210156156",
"telephone_number": "410-569-3300"
}
],
"practiceLocations": [
{
"address_1": "4C North Ave",
"address_2": "Suite 403",
"address_purpose": "LOCATION",
"city": "Bel Air",
"state": "MD",
"postal_code": "210142330",
"country_code": "US",
"telephone_number": "410-879-5170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAHE",
"first_name": "MEGHAN",
"middle_name": "TERESE",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-08",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "R169308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.