Active NPI
Liseth Graham, P.A.
- Physician Assistant
- Orlando, FL
National Provider Identifier
1285566703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3180-P.A.
- Practice address
- 851 Brevard CT
Orlando, FL 32822-8118 - Phone
- (646) 920-8937
- NPI assigned
- Jun 1, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 25-499 | FL | |
| Surgical Physician Assistant | 363AS0400X | 3180-P.A. | PR | |
| Physician Assistant | 363A00000X | 3180-P.A. | PR | Primary |
Addresses
Primary practice location
851 Brevard CT
Orlando, FL 32822-8118
Mailing address
851 Brevard CT
Orlando, FL 32822-8118
Phone (646) 920-8937
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25-499 | FL | MD | Surgical Assistant |
| 3180-P.A. | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1285566703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 BREVARD CT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328228118",
"telephone_number": "646-920-8937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 BREVARD CT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328228118",
"telephone_number": "646-920-8937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "LISETH",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-01",
"last_updated": "2026-06-01",
"certification_date": "2026-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "25-499",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "PR",
"license": "3180-P.A.",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "3180-P.A.",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.