Active NPI
Rachel Graham, RN
- Home Health Registered Nurse
- Mesquite, TX
National Provider Identifier
1336299726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 011244
- Practice address
- 504 Onyx CT
Mesquite, TX 75149-7530 - Phone
- (972) 216-0283
- Fax
- (972) 329-9827
- NPI assigned
- Jan 10, 2007
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 011244 | TX | Primary |
Addresses
Primary practice location
504 Onyx CT
Mesquite, TX 75149-7530
Mailing address
504 Onyx CT
Mesquite, TX 75149-7530
Phone (972) 216-0283
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 |
|---|---|---|---|
| 011244 | TX | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fab 4 Alliance LLC | Past | Accepting new patients |
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": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1336299726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 ONYX CT",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751497530",
"telephone_number": "972-216-0283",
"fax_number": "972-329-9827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 ONYX CT",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751497530",
"telephone_number": "972-216-0283",
"fax_number": "972-329-9827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "RACHEL",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "TX",
"license": "011244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
- Dawit Goshimea, DDS
- Swarnalatha Goskula
- Satish K Goyal, M.D.
- Grace Caring Palliative Healthcare Inc
- Gracious Home Health Agency and Medical Supply Inc
- J Kirkland Grant, M.D.
- Creytisha Gray
- Tyrec Keishun Grayson
- Greater Lewisville Therapy Center Inc (Greater Therapy Centers)
- Green Oaks Physical Therapy Limited Partnership
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.