Active NPI
Jamie L. Graham, C.PED
- Podiatric Assistant
- Wilmington, DE
National Provider Identifier
1952533531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Assistant
- License
- CPED3080
- Practice address
- 5321 Brandywine Pkwy
Wilmington, DE 19803-1471 - Phone
- (302) 230-3062
- Fax
- (302) 230-3045
- NPI assigned
- Aug 17, 2009
- 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 |
|---|---|---|---|---|
| Podiatric Assistant | 211D00000X | CPED3080 | DE | Primary |
Addresses
Primary practice location
5321 Brandywine Pkwy
Wilmington, DE 19803-1471
Mailing address
5321 Brandywine Pkwy
Wilmington, DE 19803-1471
Phone (302) 230-3062
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPED3080 | DE | MD | Podiatric Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Pedorthics | Past | Accepting new patients |
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.
-
- Prosthetic/Orthotic Supplier
- Wilmington, DE
- NPI 1811128242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250467200000",
"number": "1952533531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5321 BRANDYWINE PKWY",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198031471",
"telephone_number": "302-230-3062",
"fax_number": "302-230-3045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5321 BRANDYWINE PKWY",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198031471",
"telephone_number": "302-230-3062",
"fax_number": "302-230-3045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "JAMIE",
"middle_name": "L.",
"credential": "C.PED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-17",
"last_updated": "2009-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "211D00000X",
"taxonomy_group": "",
"desc": "Assistant, Podiatric",
"state": "DE",
"license": "CPED3080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.