Dr. Nicole R Graham, MD
Psychiatry & Neurology, Psychiatry in Lees Summit, Missouri
1285809673- Practice location
- 901 NE Independence Ave, Lees Summit, MO 64086-5544
- Phone
- 816-347-3223
- Fax
- —
- Last updated
- July 21, 2022
Nicole Renee Graham is a Psychiatry & Neurology, Psychiatry based in Lees Summit, MO. Nicole Renee Graham practices in Lees Summit, MO and has the professional credentials of MD. The NPI Number for Nicole Renee Graham is 1285809673 and holds a License No. 01-52448 (CT). The current practice location address for Nicole Renee Graham is 901 NE Independence Ave, Lees Summit, MO 64086-5544 and can be reached out via phone at 816-347-3223.
Provider Profile Details
- NPI Number
- 1285809673
- Provider Name
- Nicole Renee Graham
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 901 NE Independence Ave, Lees Summit, MO 64086-5544
- Phone Number
- 816-347-3223
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- Yes
- Other Names
- Dr. Nicole Renee Edmond, MD (Former Name)
- Provider Enumeration Date
- April 25, 2008
- Last Update Date
- July 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 901 NE Independence Ave
Lees Summit, MO 64086-5544 - City
- Lees Summit
- State
- Missouri
- Zip
- 64086-5544
- Phone Number
- 816-347-3223
Provider Business Mailing Address Details
- Address
- 901 NE Independence Ave
Lees Summit, MO 64086-5544 - City
- Lees Summit
- State
- MO
- Zip
- 64086-5544
- Phone Number
- 816-347-3223
License Information
- License Number (1)
- 01-52448
- License State (1)
- CT
- Taxonomy (1)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- License Number (2)
- TRN15706
- License State (2)
- FL
- Taxonomy (2)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- License Number (3)
- ME111414
- License State (3)
- FL
- Taxonomy (3)
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X
- Taxonomy (4)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (5)
- 2016033090
- License State (5)
- MO
- Taxonomy (5)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Nicole R Graham, MD?
The NPI number of Dr. Nicole R Graham, MD is 1285809673. It was assigned on April 25, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Nicole R Graham, MD?
Dr. Nicole R Graham, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in CT under license number 01-52448.
Where does Dr. Nicole R Graham, MD practice?
The practice location is 901 NE Independence Ave, Lees Summit, MO 64086-5544. The office can be reached at 816-347-3223 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285809673 directly on the NPPES registry website.