INDICA GRAHAM
NPI 1942031679
Licensed Practical Nurse in Berea, OH

Active since August 13, 2024
202 E BAGLEY RD, BEREA, OH 44017(440) 234-0006 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Indica Graham NPPES

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

INDICA GRAHAM (NPI 1942031679) is an individual licensed practical nurse in Berea, Ohio, licensed in Ohio (LPN.179472.MEDS-IV) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1942031679
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameINDICA GRAHAM
Location Address202 E BAGLEY RDBerea, OH 44017-2058
Mailing Address343 W Bagley RdBerea, OH 44017-1370 · (440) 260-6835
Sole ProprietorYes
Enumeration DateAugust 13, 2024
NPPES CertifiedAugust 13, 2024
NPI 1942031679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in OH · LPN.179472.MEDS-IV
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
202 E BAGLEY RD, Berea, OH 44017

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.

Community Health Worker
202 E BAGLEY RD
BEREA, OH 44017
Counselor
202 E BAGLEY RD
BEREA, OH 44017
Registered Nurse
202 E BAGLEY RD
BEREA, OH 44017
Counselor (Addiction (Substance Use Disorder))
202 E BAGLEY RD
BEREA, OH 44017
Community Health Worker
202 E BAGLEY RD
BEREA, OH 44017
Social Worker (Clinical)
202 E BAGLEY RD
BEREA, OH 44017
Registered Nurse
202 E BAGLEY RD
BEREA, OH 44017
Counselor (Professional)
202 E BAGLEY RD
BEREA, OH 44017

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 Indica Graham's NPI number?

The NPI number for Indica Graham is 1942031679. It was assigned to this individual provider in the NPPES registry on August 13, 2024.

Where is Indica Graham located?

Indica Graham practices at 202 E Bagley Rd, Berea, OH 44017. The listed phone number is (440) 234-0006.

What is Indica Graham's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Indica Graham was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.