NPIMap

Organization Active NPI

Graham Family Care LLC

  • Family Nurse Practitioner
  • Brandenburg, KY
National Provider Identifier
1891345039
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
GRAHAM FAMILY CARE LLC
Practice address
2025 Bypass Rd Ste 205
Brandenburg, KY 40108-1605
Phone
(270) 998-1064
NPI assigned
Sep 19, 2019
Last updated
Mar 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Tamara Graham, APRNNPI 1972953321
Title
Family Practitoner
Phone
(270) 547-8677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

2025 Bypass Rd Ste 205
Brandenburg, KY 40108-1605

Mailing address

2025 Bypass Rd Ste 205
Brandenburg, KY 40108-1605
Phone (270) 998-1064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191205000818 KY Part B Supplier - Clinic/Group Practice 6305279399 Receives reassigned benefits from 1 practitioner
Practice locations: Brandenburg, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2172823Graham Family Care2025 Bypass Rd, Suite 205, Brandenburg, KY 40108Certificate of waiverSep 30, 2027

National Provider Directory

National Provider Directory

Locations

365 Broadway St
Ste 2
Brandenburg, KY 40108
Phone (270) 422-3694

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1891345039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 BYPASS RD STE 205",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081605",
            "telephone_number": "270-998-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 BYPASS RD STE 205",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081605",
            "telephone_number": "270-998-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "FAMILY PRACTITONER",
        "authorized_official_telephone_number": "270-547-8677",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandenburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.