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LA RISA GRAHAM APRN
NPI 1164769030
Nurse Practitioner - Psychiatric/Mental Health in Fresh Meadows, NY

Active since January 11, 2013
6143 186TH ST STE 599, FRESH MEADOWS, NY 11365(551) 209-3506(609) 363-1347 Get Directions Write a Review

NPPES record last updated: September 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 7, 2025, Apr 2, 2024, Feb 6, 2024 and 3 more (6 updates tracked since 2017).

About La Risa Graham Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA RISA GRAHAM APRN (NPI 1164769030) is an individual psychiatric/mental health provider in Fresh Meadows, New York, licensed in New York (404814) and active in the NPI registry since January 2013. She maintains a secondary practice location in Hackensack.

NPPES Registry Identity

NPI1164769030
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLA RISA GRAHAMCredential: APRN
Location Address6143 186TH ST STE 599Fresh Meadows, NY 11365-2710
Mailing Address6143 Springfield Blvd Unit 640221Bayside, NY 11364-3480 · (347) 753-8833
Phone(551) 209-3506
Fax(609) 363-1347
Sole ProprietorYes
Enumeration DateJanuary 11, 2013
Last NPPES UpdateSeptember 7, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2025
✔ NPI 1164769030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NY · 404814✔ Licensed in NJ · 26NJ14844200
Also ListedRegistered NurseTaxonomy 163W00000X · License 794434 (NY)
6143 186TH ST STE 599, Fresh Meadows, NY 11365
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Secondary Practice Location 1

Location 12 University Plz Ste 100Hackensack, NJ 07601-6210 · Phone (551) 209-3506 · Fax (609) 363-1347

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HELLO NP IN PSYCHIATRY PLLC
Nurse Practitioner (Psychiatric/Mental Health)
6143 186TH ST STE 599
FRESH MEADOWS, NY 11365
Queens County (347) 753-8833

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Risa Graham's NPI number?

The NPI number for La Risa Graham is 1164769030. It was assigned to this individual provider in the NPPES registry on January 11, 2013.

Where is La Risa Graham located?

La Risa Graham practices at 6143 186th St Ste 599, Fresh Meadows, NY 11365. The listed phone number is (551) 209-3506.

What is La Risa Graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for La Risa Graham was last updated on September 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.