Tracey Lynn Graham, DNP, FNP-C ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9174553 Issued in FL

Practice address

202 Heath CT
Winchester, VA 22602

Phone

(850) 418-0945

NPI assigned

Sep 23, 2019

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

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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1689225534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 HEATH CT",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226027044",
            "telephone_number": "850-418-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 HEATH CT",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22602",
            "telephone_number": "850-418-0945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Broad Rock Blvd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232490001",
            "country_code": "US",
            "telephone_number": "850-418-0945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "TRACEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170483",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9174553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grafton School, Inc.
• Grafton School, Inc.
• Grafton School; Inc
• Amanda Lynn Graham
• Lisa Graham, LPN
• Nicole Grass, CRNA
• Courtney Alexis Graves, PHARMD
• Gabriel Graves
• Taijah Gray-Lincoln, BEHAVIOR TECHNICIAN
• Patricia L. Gray, LCSW

• All providers in Winchester, VA
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.