Active NPI
Angela K Graber, RNC
- Women's Health Nurse Practitioner
- Washington, IN
National Provider Identifier
1548375512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 28090656A
- Practice address
- 2 NE 21St St
Washington, IN 47501-3134 - Phone
- (812) 254-6936
- Fax
- (812) 257-2134
- NPI assigned
- Aug 20, 2006
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 28090656A | IN | Primary |
Addresses
Primary practice location
2 NE 21St St
Washington, IN 47501-3134
Mailing address
3800 E 500 N
Montgomery, IN 47558-5033
Phone (812) 486-3936
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 |
|---|---|---|---|
| 28090656A | IN | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548375512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 E 500 N",
"city": "MONTGOMERY",
"state": "IN",
"postal_code": "475585033",
"telephone_number": "812-486-3936",
"fax_number": "812-257-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 NE 21ST ST",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475013134",
"telephone_number": "812-254-6936",
"fax_number": "812-257-2134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRABER",
"first_name": "ANGELA",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "RNC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IN",
"license": "28090656A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, IN
- Good Samaritan Family Health Center, Inc. (Family Health Center)
- Good Samaritan Hospital (Good Samaritan Washington Primary Care)
- Good Samaritan Hospital Physician Services, Inc
- David King Gotwald III, D.D.S.
- Andrea Graber, LSW
- Leanna Kay Graber, FNP-BC
- Cornel S Gray, LCSW
- Donna K Gray
- Lisa A Greenwell, LCSW
- Stephen R. Gregory, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.