Active NPI
Erin Graham
- Family Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1174782098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP027148
- Practice address
- 4601 Market St
Philadelphia, PA 19139-4636 - Phone
- (215) 707-4630
- NPI assigned
- Jun 5, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN591965 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP027148 | PA | Primary |
Addresses
Primary practice location
4601 Market St
Philadelphia, PA 19139-4636
Mailing address
27 E Tulpehocken St
Philadelphia, PA 19144-2027
Other practice location 1
901 Lancaster Ave
Berwyn, PA 19312-1710
Phone (610) 251-2525
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 |
|---|---|---|---|
| RN591965 | PA | MD | Registered Nurse |
| SP027148 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lose Weight 1 LLC | Past | Accepting new patients | |
| Berwyn Health and Wellness PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Berwyn, PA
- NPI 1417712662
-
- Family Medicine Physician
- Berwyn, PA
- NPI 1851644942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1174782098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 E TULPEHOCKEN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191442027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 MARKET ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191394636",
"telephone_number": "215-707-4630"
}
],
"practiceLocations": [
{
"address_1": "901 Lancaster Ave",
"address_purpose": "LOCATION",
"city": "Berwyn",
"state": "PA",
"postal_code": "193121710",
"country_code": "US",
"telephone_number": "610-251-2525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAHAM",
"first_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-05",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN591965",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP027148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.