Individual provider Active NPI

William Fredrick Graham, RN

  • School Registered Nurse
  • Paradise Valley, AZ
National Provider Identifier
1245940972
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
274734 Issued in AZ
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

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
274734AZMDSchool 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.

Verify at the official NPI Registry.