Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katie Marie Graham, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1982009288

Katie Marie Graham, APRN-CNP is a Nurse Practitioner in Newark, Ohio. Qualified in 2014, 12 years ago. Practices with Licking Memorial Professional Corporation, a 235-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

1980 Tamarack Rd
Newark, OH 43055-1363
Phone: (220) 564-7520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.16759 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.16759 (OH)

Record details

NPI number1982009288
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedOctober 29, 2014
Last updated in NPPESDecember 9, 2022
Certification dateDecember 9, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Licking Memorial Professional Corporation — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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