Eileen Jennifer Rogers Graham, MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024169532 Issued in VA

Practice address

11458 Kings Hwy
King George, VA 22485-4200

Phone

(866) 389-2727

NPI assigned

Mar 25, 2010

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Eileen Jennifer Rogers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: eileen.graham.1@28386.direct.athenahealth.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Blount Memorial Physician Group, Inc

  • Family Medicine Physician
  • Alcoa, TN
  • NPI 1699710194
  NPD (past)
• Cherokee Health Systems

  dba River Valley Health

  • Federally Qualified Health Center (FQHC)
  • Talbott, TN
  • NPI 1134128820
  NPD (past)
• East Tennessee Medical Group, PC

  • Family Medicine Physician
  • Alcoa, TN
  • NPI 1942238902
  NPD (past)
• Mountain Valley RX 05 Inc

  dba Jeffco Drug Center in Jefferson City

  • Community/Retail Pharmacy
  • Jefferson City, TN
  • NPI 1043364490
  NPD (past)

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376867960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11458 KINGS HWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224854200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11458 KINGS HWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224854200",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "153 E Broadway Blvd",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "TN",
            "postal_code": "377602517",
            "country_code": "US",
            "telephone_number": "865-471-5110",
            "fax_number": "865-471-5105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "EILEEN",
        "middle_name": "JENNIFER ROGERS",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN88562",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN14877",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "ROGERS",
            "middle_name": "JENNIFER",
            "credential": "APN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William B Gallahan, PHARMD
• Gateway Counseling Center
• Amy Gerberry, LPC
• Megan Goodrich, CRNP
• Rylee Autumn Xaverie Gragg
• Carole Greeley, MS SLP-CCC
• Briana Griffiths
• Abby Leigh Hammack, DPT
• Sabrina Hawkins, N.P.
• Deborah A Hawley, NP-C

• Family Nurse Practitioner in King George, VA
• Providers in King George, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.