DR. NICOLE RENEE GRAHAM M.D.
NPI 1285809673
Psychiatry & Neurology - Psychiatry in Lees Summit, MO

Q: What is Nicole Graham's NPI number?

The NPI number for Nicole Graham is 1285809673. It was assigned to this individual provider in the NPPES registry on April 25, 2008. The provider is also known as Dr. Nicole Renee Edmond M.D..

Q: What is Nicole Graham's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Graham was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 25, 2008

901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086(816) 347-3223 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 15, 2017 (3 updates tracked since 2017).

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About Dr. Nicole Renee Graham M.d. NPPES

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

DR. NICOLE RENEE GRAHAM M.D. (NPI 1285809673) is an individual psychiatry provider in Lees Summit, Missouri, licensed in Missouri (2016033090) and active in the NPI registry since April 2008. She maintains a secondary practice location in New Haven.

NPPES Registry Identity

NPI1285809673

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. NICOLE RENEE GRAHAMCredential: M.D.

Location Address901 NE INDEPENDENCE AVELees Summit, MO 64086-5544

Mailing Address901 Ne Independence AveLees Summit, MO 64086-5544 · (816) 347-3223

Phone(816) 347-3223

Sole ProprietorYes

Enumeration DateApril 25, 2008

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1285809673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in MO · 2016033090✔ Licensed in CT · 01-52448✔ Licensed in FL · TRN15706

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License ME111414 (FL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

901 NE INDEPENDENCE AVE, Lees Summit, MO 64086

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Other Names 1

Former Name (1)Dr. Nicole Renee Edmond M.d.

Secondary Practice Location 1

Location 1184 Liberty St, Yale New Haven Psychiatric HospitalNew Haven, CT 06519-1625 · Phone (203) 668-9907

Other Providers at the Same Location NPPES 20

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

GENOA HEALTHCARE LLC

Pharmacy (Long Term Care Pharmacy)