Active NPI
Rosemary Ann Graham, LPN
- Registered Nurse
- Monroe, WI
National Provider Identifier
1306005012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 11338031
- Practice address
- 2413 5TH Ave
Monroe, WI 53566 - Phone
- (608) 325-2596
- NPI assigned
- Jun 6, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 11338031 | WI | Primary |
Addresses
Primary practice location
2413 5TH Ave
Monroe, WI 53566
Mailing address
2413 5TH Ave
Monroe, WI 53566
Phone (605) 325-2596
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38279600 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11338031 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1306005012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2413 5TH AVE",
"city": "MONROE",
"state": "WI",
"postal_code": "53566",
"telephone_number": "605-325-2596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2413 5TH AVE",
"city": "MONROE",
"state": "WI",
"postal_code": "53566",
"telephone_number": "608-325-2596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "ROSEMARY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "11338031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38279600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, WI
- Lindsay M Geier, M.D.
- Mohammad Shirdel Gerdvisheh, M.D.
- Sheila Mae Gitchel, PTA
- Ashlee Rae Glowacki, MA
- Alison Goebel, PHARMD
- Diane R. Graybill Kehoe, FNP
- Green County Emergency Medical Service Inc
- Green County Family Young Men'S Christian Association
- Leah Jane Grinvalsky, DPT
- Terri L Groezinger, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.