Active NPI
Allise Sligh Graham, BSN
- Registered Nurse
- Pomaria, SC
National Provider Identifier
1194256792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 226524
- Practice address
- 2472 Hughey Ferry Rd
Pomaria, SC 29126-9368 - Phone
- (803) 940-3411
- NPI assigned
- Mar 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 226524 | SC | Primary |
Addresses
Primary practice location
2472 Hughey Ferry Rd
Pomaria, SC 29126-9368
Mailing address
2472 Hughey Ferry Rd
Pomaria, SC 29126-9368
Phone (803) 940-3411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194754200 | Medicaid | SC |
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
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226524 | SC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1194256792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2472 HUGHEY FERRY RD",
"city": "POMARIA",
"state": "SC",
"postal_code": "291269368",
"telephone_number": "803-940-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2472 HUGHEY FERRY RD",
"city": "POMARIA",
"state": "SC",
"postal_code": "291269368",
"telephone_number": "803-940-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "ALLISE",
"middle_name": "SLIGH",
"name_prefix": "Mrs.",
"credential": "BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-24",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "226524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194754200",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pomaria, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.