Nellrose Elliott Graham

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

420 Redwood Ave
Corte Madera, CA 94925-1358

Phone

(415) 336-6644

NPI assigned

Oct 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rose Graham Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1972839736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 REDWOOD AVE",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251358",
            "telephone_number": "415-336-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 REDWOOD AVE",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251358",
            "telephone_number": "415-336-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "NELLROSE",
        "middle_name": "ELLIOTT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "GRAHAM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Gee, D.D.S.
• Madison Lauren Geraldi, LMFT
• Timothy J. Gilleran, PT
• Sherry Gillimore
• David Frederick Goldsmith, M.A., AMFT
• Corinne Grant, L.AC.
• Janie Grant, OT
• Jeff H Greenwald, MFT
• Sajot S Grewal, M.D.
• Rosina Jazmin Guzman

• Case Manager/Care Coordinator in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.