GRAHAM FAMILY CARE LLC - NPI 1891345039 - Nurse Practitioner in Brandenburg, KY

Q: What is Graham Family Care LLC's NPI number?

The NPI number for Graham Family Care LLC is 1891345039. It was assigned to this organization in the NPPES registry on September 19, 2019.

Q: What is Graham Family Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

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About Graham Family Care Llc NPPES

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

GRAHAM FAMILY CARE LLC (NPI 1891345039) is a healthcare organization registered as a family in Brandenburg, Kentucky and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Tamara Graham, Family Practitoner, as its authorized official.

NPPES Registry Identity

NPI1891345039

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameGRAHAM FAMILY CARE LLC

Location Address2025 BYPASS RD STE 205Brandenburg, KY 40108-1605

Mailing Address2025 Bypass Rd Ste 205Brandenburg, KY 40108-1605 · (270) 998-1064

Phone(270) 998-1064

Organization SubpartNo

Authorized OfficialTamara GrahamFamily Practitoner · (270) 547-8677

Enumeration DateSeptember 19, 2019

Last NPPES UpdateMarch 14, 20233 updates tracked since enumeration

NPPES CertifiedMarch 1, 2023

✔ NPI 1891345039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

2025 BYPASS RD STE 205, Brandenburg, KY 40108

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2172823

Graham Family Care · Brandenburg, KY

Active · expires Sep 30, 2027

CLIA Number18D2172823

Laboratory TypeRural Health Clinic

Certificate Effective DateOctober 1, 2025

Certificate Expiration DateSeptember 30, 2027

Laboratory DirectorMs. Tamara E. Graham

Laboratory Phone(270) 998-1064

Laboratory LocationGraham Family Care2025 Bypass Rd, Suite 205, Brandenburg, KY 40108

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

JANE WENDY ALBRECHT

Social Worker