Moira E Graham, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

A109911 Issued in TX

Practice address

1117 W de la Rosa St
Del Rio, TX 78840

Phone

(830) 768-4800

Fax

(830) 768-4844

NPI assigned

Feb 10, 2006

Sex

Female

Sole proprietor

Yes

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 TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: moira.graham.p1@direct.umchealth.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• United Medical Centers

  • Federally Qualified Health Center (FQHC)
  • Eagle Pass, TX
  • NPI 1710980669

  Pediatrics

  Medicare reassignment NPD
• Val Verde Hospital Corporation

  • Certified Registered Nurse Anesthetist
  • Del Rio, TX
  • NPI 1639239239
  Medicare reassignment NPD
• United Medical Centers

  • Federally Qualified Health Center (FQHC)
  • Eagle Pass, TX
  • NPI 1295525012
  NPD
• Val Verde Hospital Corporation

  • Rural Health Clinic/Center
  • Del Rio, TX
  • NPI 1093546590
  NPD
• Val Verde Hospital Corporation

  • Surgery Physician
  • Del Rio, TX
  • NPI 1730851585
  NPD
• Val Verde Hospital Corporation

  • Rural Health Clinic/Center
  • Del Rio, TX
  • NPI 1891124640
  NPD
• United Medical Centers

  • Federally Qualified Health Center (FQHC)
  • Brackettville, TX
  • NPI 1336284785

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1649243494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1470",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788531470",
            "telephone_number": "830-773-8917",
            "fax_number": "830-773-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 W DE LA ROSA ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "78840",
            "telephone_number": "830-768-4800",
            "fax_number": "830-768-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MOIRA",
        "middle_name": "E",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "633353",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "A109911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1411407-08",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Garcia Gomez, FNP
• Romina Mariana Gonzalez Flores
• Mayra Lynn Gonzalez, FNP
• Goodnight Sleep Center
• Goodnight Sleep Center LLC
• Shannon Wilson Graham, RN,CNS
• Lisa Guerrero
• Patricia Guerrero
• Gutierrez M.D. P.L.L.C.
• Gutierrez MD PLLC

• Pediatric Nurse Practitioner in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.