Individual provider Active NPI

Meghan Terese Grahe, CRNP

  • Pediatric Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1164732111
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R169308 Issued in MD
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

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
R169308MDMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Oaks Pediatric Center, LLC PastSince Nov 19, 2023 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": "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.

Verify at the official NPI Registry.