Active NPI
William Fredrick Graham, RN
- School Registered Nurse
- Paradise Valley, AZ
National Provider Identifier
1245940972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 274734
- Practice address
- 8801 N 56TH St
Paradise Valley, AZ 85253-2246 - Phone
- (480) 484-8711
- NPI assigned
- Dec 5, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 274734 | AZ | Primary |
Addresses
Primary practice location
8801 N 56TH St
Paradise Valley, AZ 85253-2246
Mailing address
8801 N 56TH St
Paradise Valley, AZ 85253-2246
Phone (480) 484-8711
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | williamgraham@susd.org |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274734 | AZ | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1245940972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8801 N 56TH ST",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852532246",
"telephone_number": "480-484-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8801 N 56TH ST",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852532246",
"telephone_number": "480-484-8711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "WILLIAM",
"middle_name": "FREDRICK",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-05",
"last_updated": "2022-12-05",
"certification_date": "2022-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "AZ",
"license": "274734",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "williamgraham@susd.org",
"affiliation": "N",
"address_1": "8801 N 56th St",
"city": "Paradise Valley",
"state": "AZ",
"country_code": "US",
"postal_code": "852532246",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Paradise Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.