Nycole Larai Graham, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

RN9257356 Issued in FL

Practice address

6361 Swanson St
Windermere, FL 34786-4118

Phone

(407) 496-1757

NPI assigned

Apr 14, 2017

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 names 1

• Miss Nycole Larai King Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1477087609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6361 SWANSON ST",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347864118",
            "telephone_number": "407-496-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6361 SWANSON ST",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347864118",
            "telephone_number": "407-496-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "NYCOLE",
        "middle_name": "LARAI",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "786381",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "FL",
            "license": "RN9257356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NYCOLE",
            "last_name": "KING",
            "middle_name": "LARAI",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rafael Alberto Gonzalez, LMHC (MH 16065)
• Sorimar Gonzalez
• Good One Services LLC
• Magdalena S Gordon, RIMH
• Gracemdconnect
• Carol Theresa Grande, OTR/L
• Grayt Healthcare, Inc.
• Amy Elizabeth Greene, M.A., LMHC
• Cynthia Barbara Guerrero Gentile, RPH
• Basil Hamza

• Medical-Surgical Registered Nurse in Windermere, FL
• Providers in Windermere, FL by specialty
• Medical-Surgical Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.