MS. TISHA GRAHAM CPM, ICBD, ICCE, CLC
NPI 1952099376
Midwife in Round Lake, NY

Active since April 25, 2023
40 WASHINGTON AVENUE, ROUND LAKE, NY 12151(518) 366-2159 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Tisha Graham Cpm, Icbd, Icce, Clc NPPES

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

MS. TISHA GRAHAM CPM, ICBD, ICCE, CLC (NPI 1952099376) is an individual midwife in Round Lake, New York, licensed in Vermont (107.0085724) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1952099376
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameMS. TISHA GRAHAMCredential: CPM, ICBD, ICCE, CLC
Location Address40 WASHINGTON AVENUERound Lake, NY 12151
Mailing Address40 Washington Avenue, P.o. Box 41Round Lake, NY 12151 · (518) 366-2159
Sole ProprietorNo
Enumeration DateApril 25, 2023
NPPES CertifiedApril 25, 2023
NPI 1952099376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License Licensed in VT · 107.0085724
Definition

A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.

Also ListedLactation Consultant, Non-RNTaxonomy 174N00000X
Also ListedDoulaTaxonomy 374J00000X
40 WASHINGTON AVENUE, Round Lake, NY 12151

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 Tisha Graham's NPI number?

The NPI number for Tisha Graham is 1952099376. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Where is Tisha Graham located?

Tisha Graham practices at 40 Washington Avenue, Round Lake, NY 12151. The listed phone number is (518) 366-2159.

What is Tisha Graham's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

When was this NPI record last updated?

The NPPES record for Tisha Graham was last updated on April 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.