Active NPI
Anjalie Rose Graham, APRN-RX
- Family Nurse Practitioner
- Kailua Kona, HI
National Provider Identifier
1821386095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-1362
- Practice address
- 75-5751 Kuakini Hwy
Kailua Kona, HI 96740-1752 - Phone
- (808) 326-5629
- NPI assigned
- Jul 21, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN-1362 | HI | Primary |
| Family Nurse Practitioner | 363LF0000X | RX-338 | HI |
Addresses
Primary practice location
75-5751 Kuakini Hwy
Kailua Kona, HI 96740-1752
Mailing address
75-5751 Kuakini Hwy
Kailua Kona, HI 96740-1752
Phone (808) 326-5629
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RX-338 | HI | MD | Family Nurse Practitioner |
Interoperability endpoints
- anjalie.graham@hawaiihie.medicity.net
- anjalie.graham1@hawaiihie.medicity.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381276800000",
"number": "1821386095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-5751 KUAKINI HWY",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401752",
"telephone_number": "808-326-5629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-5751 KUAKINI HWY",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401752",
"telephone_number": "808-326-5629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "ANJALIE",
"middle_name": "ROSE",
"credential": "APRN-RX",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-21",
"last_updated": "2013-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "APRN-1362",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "RX-338",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.