Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

La Risa Graham, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1164769030

La Risa Graham, APRN is a Psychiatric/Mental Health Nurse Practitioner in Fresh Meadows, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2013
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

6143 186th St Ste 599
Fresh Meadows, NY 11365-2710
Phone: (551) 209-3506
Fax: (609) 363-1347
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 University Plz Ste 100, Hackensack, NJ 07601-6210 — (551) 209-3506

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 404814 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 26NJ14844200 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 794434 (NY)

Record details

NPI number1164769030
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedJanuary 11, 2013
Last updated in NPPESSeptember 7, 2025
Certification dateSeptember 7, 2025
Mailing address6143 Springfield Blvd Unit 640221, Bayside, NY 11364-3480

Other providers in Fresh Meadows