Active NPI
Bobbi Lee Graham, LPN
- Licensed Practical Nurse
- Indianapolis, IN
National Provider Identifier
1457573966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 27056284A
- Practice address
- 8115 Knue Rd
Indianapolis, IN 46250-1936 - Phone
- (317) 841-4400
- NPI assigned
- May 3, 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 27056284A | IN | Primary |
Addresses
Primary practice location
8115 Knue Rd
Indianapolis, IN 46250-1936
Mailing address
409 S Crawford St
Martinsville, IN 46151-2317
Phone (317) 796-2150
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27056284A | IN | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1457573966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 S CRAWFORD ST",
"city": "MARTINSVILLE",
"state": "IN",
"postal_code": "461512317",
"telephone_number": "317-796-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8115 KNUE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462501936",
"telephone_number": "317-841-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "BOBBI",
"middle_name": "LEE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "IN",
"license": "27056284A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.