Camille Graham, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

5234298 Issued in FL

Practice address

4210 SW Kazan St
Port St Lucie, FL 34953-7247

Phone

(561) 876-3013

NPI assigned

Sep 30, 2026

Last updated

Sep 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1659285245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 SW KAZAN ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349537247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 SW KAZAN ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349537247",
            "telephone_number": "561-876-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CAMILLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5234298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Senior Living, LLC (Grace Manor)
• Grace Senior Living, LLC (Grace Home)
• Nakeem O Grace
• Graces Palaces
• Ashley Grady, PTA
• Stephen Graham II, MD, MS
• Diana Grajales
• Eugenie Grant, CNA/PERS. ASST.
• Nickole M Grant, LCSW
• John Grassam, D.C.

• Licensed Practical Nurse in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.