Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942031679 Individual Practitioner Female Practitioner

Indica Graham

Licensed Practical Nurse • Berea, OH

Professional Overview & Biography Verified Profile Summary

Indica Graham is a registered healthcare professional specializing in Licensed Practical Nurse in Berea, OH. Practice services are available at 202 E BAGLEY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

202 E Bagley Rd

Berea, OH 440172058

Telephone 4402340006
Associated Practice Facility / Clinic
🏢 Ohioguidestone Facility NPI 1447524673

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Berea, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Berea, OH (13034 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

CMS Verified: 2024-08-13
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH LPN.179472.MEDS-IV

An individual 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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Elisabeth Jordan

Peer Specialist

NPI 1740011477

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 13, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2024

Registered at 202 E BAGLEY RD, BEREA, OH 440172058 (Tel: 4402340006)

📍
Updated Business Mailing Address August 13, 2024

Registered at 343 W BAGLEY RD, BEREA, OH 440171370 (Tel: 4402606835)

👤
Provider Name / Credentials Updated August 13, 2024

Recorded as INDICA GRAHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2024

Licensed Practical Nurse (License #LPN.179472.MEDS-IV in OH)

🟢
Initial NPI Registration & Enumeration August 13, 2024

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: 1942031679
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2024
Last Update: August 13, 2024
Sole Proprietor: Yes

Mailing Address

343 W Bagley Rd

Berea, OH 440171370

Phone: 4402606835

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.