Individual provider Active NPI

Brittany Kaye Graham, FNP-C

  • Nurse Practitioner
  • Clarksville, TX
National Provider Identifier
1346827342
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1021644 Issued in TX
Practice address
120 Farm Road 2825
Clarksville, TX 75426-3348
Phone
(903) 427-2201
Fax
(903) 427-3204
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1021644 TX Primary

Addresses

Primary practice location

120 Farm Road 2825
Clarksville, TX 75426-3348

Mailing address

1601 Lamar Ave
Paris, TX 75460-4660
Phone (903) 741-1101

Other practice location 1

1601 LaMar Ave
Paris, TX 75460-4660
Phone (903) 741-1101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250305001227 TX Practitioner - Nurse Practitioner 9234650391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
B. C. Muthappa, M.D., P.a.Group PAC ID 2961689500, 7 clinicians
Healx Wound Care of Netx PLLCGroup PAC ID 0941747174, 6 clinicians

Practice addresses (Care Compare)

120 Farm Rd
Suite 2825
Clarksville, TX 75426-3348
Phone (903) 427-2201

1601 Lamar Ave
Paris, TX 75460-4660
Phone (903) 741-1101

410 N Collegiate Dr
Paris, TX 75460-4886
Phone (903) 204-4007

Hospital & facility affiliations

  • Paris Regional Medical Center Hospital, Paris, TX, CCN 450196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1021644TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
B. C. Muthappa, M.D., P.a. CurrentSince Jan 2, 2025 Accepting new patients
Bacharanianda LLC PastSince Jun 1, 2021 Accepting new patients

Locations

120 Farm Road 2825
Clarksville, TX 75426
Phone (903) 427-2201

1601 Lamar Ave
Paris, TX 75460
Phone (903) 715-1516

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1346827342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754604660",
            "telephone_number": "903-741-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FARM ROAD 2825",
            "city": "CLARKSVILLE",
            "state": "TX",
            "postal_code": "754263348",
            "telephone_number": "903-427-2201",
            "fax_number": "903-427-3204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 LaMar Ave",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TX",
            "postal_code": "754604660",
            "country_code": "US",
            "telephone_number": "903-741-1101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "BRITTANY",
        "middle_name": "KAYE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1021644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TX

Sources for this page

Verify at the official NPI Registry.