Active NPI
Anne Bernadette Graham, FNP-C
- Family Nurse Practitioner
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP 18290
- Practice address
- 2633 16TH St
Bakersfield, CA 93301-3348 - Phone
- (661) 634-1000
- Fax
- (661) 634-1040
- NPI assigned
- Aug 29, 2009
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP 18290 | CA | Primary |
Addresses
Primary practice location
2633 16TH St
Bakersfield, CA 93301-3348
Mailing address
1691 The Alameda
San Jose, CA 95126-2203
Phone (408) 795-3919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120409000328 | CA | Practitioner - Nurse Practitioner | 5597926121 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Omni Family Health
Practice addresses (Care Compare)
210 N Chester Ave
Bakersfield, CA 93308-4841
Phone (866) 707-6664
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP 18290 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Family Health | Current | Accepting new patients | |
| Omni Family Health | Current | Accepting new patients | |
| Omni Family Health | Current | Accepting new patients | |
| Omni Family Health | Past | Accepting new patients | |
| Bakersfield Memorial Hospital | Past | Accepting new patients | |
| Omni Family Health | Past | Accepting new patients |
Locations
1701 Stine Rd
Bakersfield, CA 93309
Phone (661) 770-3317
210 N Chester Ave
Bakersfield, CA 93308
Phone (661) 325-6800
4151 Mexicali Dr
Bakersfield, CA 93313
4600 Panama Ln
Unit 102B
Bakersfield, CA 93313
Phone (661) 630-7732
1022 Calloway Dr
Bakersfield, CA 93312
4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046
1014 Calloway Dr
Bldg F
Bakersfield, CA 93312
4900 California Ave
Ste 100B
Bakersfield, CA 93309
Phone (818) 445-6935
277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381
2505 Merced St
Fresno, CA 93721
Phone (559) 369-4625
320 James St
Shafter, CA 93263
Phone (661) 459-1800
Interoperability endpoints
- anne.graham.p1@direct.omnifamilyhealth.nextgenshare.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Lost Hills, CA
- NPI 1376558221
-
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1770399669
-
- Institutional Pharmacy
- Bakersfield, CA
- NPI 1144256363
-
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1033426002
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1417962457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508112000000",
"number": "1407089014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1691 THE ALAMEDA",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262203",
"telephone_number": "408-795-3919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2633 16TH ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933013348",
"telephone_number": "661-634-1000",
"fax_number": "661-634-1040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "ANNE",
"middle_name": "BERNADETTE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-29",
"last_updated": "2017-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP 18290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.