Marie A Graham, APN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

ATP-000116 Issued in AR

Practice address

636 West Broadway St
No Little Rock, AR 72114

Phone

(501) 374-1153

Fax

(501) 374-6213

NPI assigned

Dec 24, 2007

Last updated

Oct 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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 AR

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greenbrier Emergency Services, Inc.Group PAC ID 2668377359, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Greenbrier Emergency Services, Inc.

  • Emergency Medicine Physician
  • Gassaway, WV
  • NPI 1568401461

  AR, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Arkansas Pain Centers, LTD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • N Little Rock, AR
  • NPI 1811984099
  Medicare reassignment NPD
• Arkansas Health Group

  dba North Little Rock Emergency Doctors Group

  • Internal Medicine Physician
  • North Little Rock, AR
  • NPI 1326133943
  NPD
• Arkansas Health Group

  dba Baptist Health Surgical Clinic-Stuttgart

  • Surgery Physician
  • Stuttgart, AR
  • NPI 1952840555
  NPD
• Arkansas Pain Centers LTD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Little Rock, AR
  • NPI 1548896798
  NPD
• Arkansas Center for Physical Medicine & Rehabilitation

  • Orthopedic Chiropractor
  • North Little Rock, AR
  • NPI 1801872304
  NPD (past)
• Health Management of Arkansas

  • Chiropractor
  • North Little Rock, AR
  • NPI 1366632887
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health

  dba Baptist Health Medical Center-North Little Rock

  • General Acute Care Hospital
  • North Little Rock, AR
  • NPI 1497790042
  Care Compare affiliation

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1881878064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 WEST BROADWAY ST",
            "city": "NO LITTLE ROCK",
            "state": "AR",
            "postal_code": "72114",
            "telephone_number": "501-374-1153",
            "fax_number": "501-374-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 WEST BROADWAY ST",
            "city": "NO LITTLE ROCK",
            "state": "AR",
            "postal_code": "72114",
            "telephone_number": "501-374-1153",
            "fax_number": "501-374-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MARIE",
        "middle_name": "A",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A003059",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "ATP-000116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ATP000116",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annette Dillard Barry, LCSW
• Chirohealth PA (North Little Rock Chiropractic)
• NLR Oral & Maxillofacial Surgery PLLC
• Perkins Pharmacies Inc (Medicine Man Pharmacy)
• Kelley Lynne Williams, LCSW

• Acute Care Nurse Practitioner in No Little Rock, AR
• Providers in No Little Rock, AR by specialty
• Acute Care Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.