Active NPI
Patricia A Graham, NP
- Psychiatry Physician
- Harrisonburg, VA
National Provider Identifier
1912323585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 00171402843
- Practice address
- 1241 N Main St
Harrisonburg, VA 22802-4632 - Phone
- (540) 434-1941
- NPI assigned
- Mar 6, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 00171402843 | VA | Primary |
Addresses
Primary practice location
1241 N Main St
Harrisonburg, VA 22802-4632
Mailing address
19 Briar Knoll CT
Ste 1
Fishersville, VA 22939-2635
Phone (540) 949-0955
Other practice location 1
19 Briar Knoll Ct
Ste 1
Fishersville, VA 22939-2635
Phone (540) 949-0955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00171402843 | VA | MD | Psychiatry Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Health Worker
- Fishersville, VA
- NPI 1659624054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1912323585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BRIAR KNOLL CT",
"address_2": "STE 1",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392635",
"telephone_number": "540-949-0955",
"fax_number": "540-949-8377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 N MAIN ST",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228024632",
"telephone_number": "540-434-1941"
}
],
"practiceLocations": [
{
"address_1": "19 Briar Knoll Ct",
"address_2": "Ste 1",
"address_purpose": "LOCATION",
"city": "Fishersville",
"state": "VA",
"postal_code": "229392635",
"country_code": "US",
"telephone_number": "540-949-0955",
"fax_number": "540-949-8377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAHAM",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-06",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "00171402843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisonburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.