Deborah Graham

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

24592 Issued in TN

Practice address

725 E Poplar Ave
Selmer, TN 38375-1800

Phone

(731) 645-3474

NPI assigned

Jan 30, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1689097404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 GRAHAM ST",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383751331",
            "telephone_number": "731-434-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E POPLAR AVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383751800",
            "telephone_number": "731-645-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DEBORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "24592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronnie Lee Fullwood, DDS
• Lakshmanan Ganapathy, MD
• Margaret Ashley Gary, LPC
• Dyana Alexander Gates, PT
• Stephanie Goodrum, LPC
• Tiffany B Gray, FNP
• Thomas Lyndon Grissom, DPH
• Hardin County Regional Health Center
• Jonathan Harrison, M.MIN
• Morgan Hays, ATC

• All providers in Selmer, TN
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.