Active NPI
Elizabeth K. Graham, FNP
- Family Nurse Practitioner
- Louisville, KY
National Provider Identifier
1376636357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3013482
- Practice address
- 4010 Dupont Cir Ste 379
Louisville, KY 40207-4838 - Phone
- (502) 754-3723
- NPI assigned
- Oct 2, 2006
- Last updated
- Apr 24, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3013482 | KY | Primary |
Addresses
Primary practice location
4010 Dupont Cir Ste 379
Louisville, KY 40207-4838
Mailing address
4010 Dupont Cir Ste 379
Louisville, KY 40207-4838
Phone (502) 754-3723
Other names 1
- Elizabeth Katherine Dilley
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lowcountry Medical Associates | Family | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Moncks Corner Primary Care
- Internal Medicine Physician
- Moncks Corner, SC
- NPI 1790735975
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1376636357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 DUPONT CIR STE 379",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074838",
"telephone_number": "502-754-3723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 DUPONT CIR STE 379",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074838",
"telephone_number": "502-754-3723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "ELIZABETH",
"middle_name": "K.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3013482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "DILLEY",
"middle_name": "KATHERINE",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.