Individual provider Active NPI

Cora Joyce Graham, PHD,CNS, APRN, FNP

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1285800490
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APO 2169 Issued in LA
Practice address
517 N Rampart St
New Orleans, LA 70112-3503
Phone
(504) 903-5401
Fax
(504) 599-1057
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X APO2169 LA
Family Nurse Practitioner 363LF0000X APO 2169 LA Primary

Addresses

Primary practice location

517 N Rampart St
New Orleans, LA 70112-3503

Mailing address

517 N Rampart St
New Orleans, LA 70112-3503
Phone (504) 903-5401

Other identifiers 2

IdentifierTypeStateIssuer
1894397MedicaidLA
12310562OtherLACAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100301000498 LA Practitioner - Nurse Practitioner 6507901618 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
APO 2169LAMDFamily Nurse Practitioner
APO2169LAMDClinical Nurse Specialist

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1285800490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N RAMPART ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701123503",
            "telephone_number": "504-903-5401",
            "fax_number": "504-599-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N RAMPART ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701123503",
            "telephone_number": "504-903-5401",
            "fax_number": "504-599-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CORA",
        "middle_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "PHD,CNS, APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "LA",
            "license": "APO2169",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO 2169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1894397",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12310562",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.