Teresa Kem Graham, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704198775 Issued in MI

Practice address

8765 Lewis Ave
Temperance, MI 48182-9583

Phone

(734) 847-3802

Fax

(734) 847-3418

NPI assigned

Mar 6, 2007

Last updated

Dec 13, 2011By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Merit-based Incentive Payment System (MIPS)

Final score

66.34 of 100Reported as group

Quality

63.79

Promoting interoperability

0

Improvement activities

40

Cost

74.03

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Stafford Services, Inc.

  • Family Nurse Practitioner
  • Parma, OH
  • NPI 1679542021
  Medicare reassignment NPD
• TLC of Mi LLC

  • Nursing Facility/Intermediate Care Facility
  • Brentwood, TN
  • NPI 1174794655
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1467582197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 RIVERSIDE AVE",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211539",
            "telephone_number": "517-263-1800",
            "fax_number": "517-263-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 LEWIS AVE",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481829583",
            "telephone_number": "734-847-3802",
            "fax_number": "734-847-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "TERESA",
        "middle_name": "KEM",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP-09190",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704198775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF MICHIGAN",
            "identifier": "54924",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Frederick, LPC, CAADC, CCS
• Laurie Ann Fry, FNP
• Stacy Gamel
• Diana Gaulin
• George J. Spader, DDS, PC
• Great Lakes Dental Ventures PLLC
• Greater Toledo Urgent Cares, LLC.
• Rachel Green, LMSW, LISW-S
• Gtuc-Michigan PC
• Poonam G Gupta, DDS

• Family Nurse Practitioner in Temperance, MI
• Providers in Temperance, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.

Verify at the official NPI Registry.