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Active NPI 1124127600 Individual Practitioner Female Practitioner

Sasha Graham , NP

Nurse Practitioner • Fort Bragg, CA

Professional Overview & Biography Verified Profile Summary

Sasha Graham, NP is a registered healthcare professional specializing in Nurse Practitioner in Fort Bragg, CA. Practice services are available at 721 RIVER DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

721 River Drive
Suite A

Fort Bragg, CA 95437

Telephone 7079647241
Fax 7079641192
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Bragg, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Fort Bragg, CA (8378 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 12527

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Registered Nurse
571396 (CA)
Commercial Insurance / Payer ID Nurse Practitioner
12527 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dr. James Sandys , MD

Family Medicine

NPI 1043381072

Doctor of Medicine (M.D.)

Dr. James Swallow , MD

Internal Medicine

NPI 1114067287

Doctor of Medicine (M.D.)

Dr. Masyn Enright , DO

Family Medicine

NPI 1184387201

Doctor of Osteopathic Medicine (D.O.)

Dr. John Gallo , MD

Family Medicine

NPI 1225049257

Doctor of Medicine (M.D.)

Michele Tellier , FNP

Nurse Practitioner - Family

NPI 1295961837

Family Nurse Practitioner

Dr. John Cottle , DO

Family Medicine

NPI 1447343116

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 721 RIVER DRIVE, SUITE A, FORT BRAGG, CA 95437 (Tel: 7079647241)

📍
Updated Business Mailing Address July 08, 2007

Registered at 721 RIVER DRIVE, SUITE A, FORT BRAGG, CA 95437 (Tel: 7079647241)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SASHA GRAHAM, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #12527 in CA)

🟢
Initial NPI Registration & Enumeration September 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124127600
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

721 River Drive, Suite A

Fort Bragg, CA 95437

Phone: 7079647241

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.