Theresa E Raphael-Grimm, PHD

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

125601 Issued in NC

Practice address

101 Manning Dr
Chapel Hill, NC 27599-0001

Phone

(919) 966-4131

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Certified Nurse Specialist, Doctor of Philosophy

Interoperability endpoints

• Direct secure messaging: traphaelgrimm32214@direct.unc.nchie.net

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1477641116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 W FRANKLIN ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275162539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-966-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAEL-GRIMM",
        "first_name": "THERESA",
        "middle_name": "E",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NC",
            "license": "125601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6004060",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC RAILROAD MEDICARE",
            "identifier": "P00348593",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shilpa M Rao, MD
• Suraj Rao
• Vineeta Rao, PHARMD, BCPS, CPP
• Brittany Dawn Rapacz, RN
• Sonia Rapaport, MD
• Emilie Ross Raphael, PH.D.
• Carolyn Day Rapp
• Christine Anne Rardin, PA
• Karissa Ladonna Raschke, LCSWA
• Mary Margaret Rupard Rasic

• Clinical Nurse Specialist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Clinical Nurse Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.